HIPAA-Friendly Online Patient Forms

Jotform’s online patient forms help hospitals and clinics collect patient intake and appointment information securely on any device. Create custom online patient forms with HIPAA-friendly features to protect sensitive data while simplifying paperwork before and after visits. Jotform makes it easier to manage patient workflows and keep submissions organized.

Templates

Free Patient Form Templates

Whether you need patient intake forms, consent forms, or appointment forms, get a head start with our ready-made templates. Just select the one that best suits your needs and customize it in a few clicks!

New Patient Registration Form

Template 20840339161448

New Patient Appointment Form

Template 201693263919058

Patient Informed Consent Form

Template 201203236879959

Benefits

Create Online Patient Forms

Streamline Patient Intake

Speed up the intake process with online patient forms that make it easy to schedule appointments, collect e-signatures and payments, and more.

Improve the Patient Experience

Provide more convenient care with accessible, mobile-friendly patient forms that work great from any computer, tablet, or smartphone.

Keep Medical Data Secure

Safely collect medical information online with HIPAA-friendly patient forms. Keep your form submissions secure and protect your patients’ sensitive health data seamlessly.

Testimonials

What our users say about Jotform

I use Jotform with a number of clients, but the two for whom it is most useful are a medical charity and a tennis coaching company. I like the flexibility Jotform offers for gathering registration information and managing workflows triggered by changing the status of membership applications. These help my clients streamline their admin processes and control their admin costs.

Iwona Batterberry, Consultant, Brainwaves Gravy