Medical Release Form
A medical release form is used to request that a healthcare provider release a patient’s medical records. Whether you’re a physician, dentist, or psychiatrist, Jotform’s free Medical Release Form template is a safe and secure way to collect sensitive medical information and electronic signatures from your patients. Rather than deal with messy paperwork, simply share your release form via email directly from your online dashboard. Patients can then fill out and sign your form from any device. Once submitted, you’ll receive a notification and finalized version of the document.
Make this Medical Release Form your own with Jotform’s intuitive drag-and-drop form builder. Upload your practice’s logo, choose fonts and colors, include additional text boxes and signature fields, edit the agreement text, and more. Once your Medical Release Form has been filled out, you can instantly download it for your records as a PDF document. Create a safe and streamlined signature experience for your patients with Jotform Sign.
HIPAA Release Form Template
HIPAA (Health Insurance Portability and Accountability Act), also known as Public Law 104-191, is a law passed in the United States that protects and safeguards the privacy of medical information and has two main purposes: First, to provide continuous health insurance coverage to workers who switch jobs or lose their jobs; Second, is to standardize the electronic transmission and transactions for security and protection of information. This law was primarily passed due to proliferation of data breaches concerning health information.This HIPAA Release Form PDF Template is a standard release authorization form for disclosure of health information for healthcare and health insurance providers which the subject or person consents on disclosing his health information to a certain healthcare organization. This HIPAA Release Form PDF Template is easy to modify and flexible to use.
Hospital Discharge Template
The Hospital Discharge Template is a detailed document that provides patients with instructions and information upon discharge from a healthcare facility
Release of Liability Form
Create a release of liability form to ensure your company is covered in case of an accident. Signable on any type of device — desktop, tablet, and mobile friendly.
Free Non-Compete Agreement Template
Create a free non-compete agreement with Jotform Sign. Easy to customize and share. Converts to a PDF document. Fill out and e-sign on any device.
Doctors Note Template
Create a doctor’s note for your medical practice. Sign and send to your patients. Works on mobile, tablet, and desktop devices. Drag and drop to design.
Interview Consent Agreement
Gather interview consent forms online. Can be filled out and signed on any device. Converts to a PDF instantly. Easy drag-and-drop customization.
These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.