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.
Templates
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
Medical Questionnaire
Patient Discharge Form
Benefits
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.
Testimonials