Free Patient Access Software

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 forms that enable HIPAA compliance.

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

Template patient-portal-consent-form
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Medical Questionnaire

Template medical-questionnaire
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Patient Discharge Form

Template patient-discharge-form
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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

What our users say about Jotform

This is the best tool ever!!! When we were looking for a solution for online registrations, options that we saw involved spending thousands of dollars with no easy customization - it involved paying developers for their time! With Jotform, you can make changes yourself and don't need a whole lot of experience in developing or coding! Love it and will probably continue using it for many years to come!

Alissa Kline, Council Assistant, KLMCarpenters