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

Template patient-portal-consent-form

問診票

Template medical-questionnaire

Patient Discharge Form

Template patient-discharge-form

メリット

Instantly Create Patient Access Forms

Create powerful forms

Make your first form in a few easy clicks. Start with a free template or build from scratch with our drag-and-drop builder. No coding required!

Add your branding

Make your online forms match your healthcare provider’s branding. Upload your logo, change fonts and colors, or update the form background.

Speed up the billing process

Integrate with 30+ popular payment gateways — like PayPal or Stripe — to collect fee payments seamlessly on any device.

Protect sensitive health data

Clinical patient access solutions need to keep sensitive patient data protected — which is why Jotform includes PCI compliance and optional HIPAA compliance features.

Send appointment reminders

Set up autoresponder emails to remind patients of their upcoming appointments automatically.

ユーザーの声

Jotformに関するユーザーの声

これは今までの中で最高のツールです!!!オンライン登録の解決策を探していたとき、見た選択肢は、簡単にカスタマイズできない上に、数千ドルもかかり、開発者に作業を依頼する必要がありました。Jotformを使えば、自分で簡単に変更ができ開発やコーディングの経験があまりなくても大丈夫です! とても気に入っていて、これから何年も使い続けるつもりです!

Alissa Kline, カウンシル・アシスタント, KLMCarpenters