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Jotform for Salesforce Discover NowCollect and manage patient information for your medical practice with Jotform. Create custom HIPAA-friendly medical forms to gather feedback, appointment bookings, payments, consent forms, and more on any device. Automate your workflow and collaborate with team members online to save time.
Templates
Not sure where to start? Customize one of the form templates below in a few easy clicks with our drag-and-drop no-code form builder.
Benefits
Gather information online with custom forms for your medical practice. Make your form match your needs by adding your logo, customizing form fields, and connecting with one of our 100+ popular integrations to automatically send data to your other accounts.
Accept payments online — choose from our 30+ ready-made payment processor integrations, including Square, Stripe, PayPal, and more. Offer multiple payment options to provide better service for your patients with Jotform’s clinic management software.
Manage your form data on the go with Jotform Mobile Forms, our free mobile app — or create a custom app for your patients using Jotform Apps! They can download your app onto their iOS or Android device to submit forms on the go.
Keep data protected with a 256-bit SSL connection, PCI compliance, and the option to add HIPAA compliance features. Once you start gathering submissions, you can auto-generate reports with Jotform Report Builder to analyze data and improve your services.
Testimonials
