Boost patient engagement with Jotform: a powerful platform designed to give healthcare providers and their patients simple, secure, and convenient access to medical records. Collect patient data, schedule appointments, and manage patient files using HIPAA-compliant online forms.
Templates
Get a head start with ready-made templates. Choose one to customize with our drag-and-drop builder.
Benefits
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!
Make your online forms match your healthcare provider’s branding. Upload your logo, change fonts and colors, or update the form background.
Integrate with 30+ popular payment gateways — like PayPal or Stripe — to collect fee payments seamlessly on any device.
Clinical patient access solutions need to keep sensitive patient data protected — which is why Jotform includes PCI compliance and optional HIPAA compliance.
Set up autoresponder emails to remind patients of their upcoming appointments automatically.
Testimonials