Free Patient Access Software
Jotform’s patient access software is a secure data management platform that simplify communication between healthcare providers and patients. Use it to collect medical history, schedule appointments, and manage patient files through HIPAA-friendly online forms. The software simplifies administrative workflows by process payments and send automated appointment reminders from one centralized system.
テンプレート
Free Patient Form Templates
Get a head start with ready-made templates. Choose one to customize with our drag-and-drop builder.
Patient Portal Consent Form
問診票
Patient Discharge Form
メリット
Instantly Create Patient Access Forms
Create powerful forms
Build patient access forms with Jotform’s no-code, drag-and-drop Form Builder. Start from a template or create a new form from scratch, then add the fields needed for medical history and intake. This helps healthcare teams launch online forms quickly without developer support.
Add your branding
Match patient access forms to a clinic or practice brand by uploading a logo and adjusting fonts and colors. Update the form background so patients see familiar visuals while completing forms online. Consistent branding can reduce confusion when patients move between a website and a form.
Speed up the billing process
Collect fees directly in the form by connecting a payment gateway such as PayPal or Stripe. Jotform supports integrations with 40+ payment processors, so staff can choose the payment option that fits existing workflows. This reduces back-and-forth because patients can pay during the same step as submitting required details.
Protect sensitive health data
Use Jotform’s PCI-friendly forms when collecting card payments through patient access forms. Enable optional HIPAA features when a workflow needs HIPAA-friendly handling of patient information. These controls help healthcare teams limit exposure of sensitive data during intake, billing, and follow-up.
Send appointment reminders
Send automated appointment reminder emails using Jotform autoresponder emails connected to a patient access form. Autoresponders can be configured to send messages automatically, which helps staff avoid manual reminder outreach. If reminders need to go out later, Jotform also supports scheduling autoresponder emails to send at a later time.
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