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
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