Physician Forms

An appointment request form is used by medical practices to collect patient information, such as name, address, and contact details, to make a health appointment.

An online doctor appointment form is used by medical practices to schedule medical appointments through the practice website.

A request an appointment form is a generic appointment request form mainly used by medical practices to request new clients to make an appointment with a medical professional.

A COVID-19 vaccine appointment form is used by medical practices to schedule COVID-19 vaccine appointments. It’s been a long time coming, and patients are anxious to get their vaccines administered as quickly as possible — so make the scheduling process as seamless as possible with Jotform’s free online COVID-19 Vaccine Appointment Form. Just customize the form to match your practice, opt for HIPAA friendly features to keep patient data secure, embed the form in your website or share it with a link, and start collecting bookings online. Use Jotform’s drag-and-drop Form Builder to quickly add your appointment slots to the calendar widget, which automatically makes bookings unavailable once they have been booked by a previous patient — a great way to avoid double-booking! You can also upload your logo, include extra questions, and further personalize the design — or sync submissions to third-party apps like Google Calendar, Google Sheets, and Slack with our 100+ free form integrations! Improve the way you book appointments for your practice with Jotform’s online COVID-19 Vaccine Appointment Form.

Easy appointment scheduling for e-visits. Great for telemedicine! HIPAA compliance option. Embed anywhere. Integrate with 100+ apps. No coding required.

Let patients request virtual appointments online. Add a calendar field without coding. HIPAA compliance features. Perfect for telemedicine providers.

A medical consultation form is a medical questionnaire used by medical professionals to consult patients about their health and past experience with related diseases. Use this no coding template from Jotform!

Accept requests for e-visits through this free online appointment form. Easy to customize. embed, and share. Integrate with 100+ apps. HIPAA compliance features.

Manage online requests for COVID-19 swab tests administered by your healthcare facility. Easy to fill out and customize. Works on any device. No coding.

A patient appointment form is a form used to track and schedule patient appointments at a healthcare facility. No coding!

Schedule appointments online for new patients. Easy to customize and embed. Sync to Google Calendar, Zoom, and 100+ apps. HIPAA friendly features option. No coding.

A chiropractic treatment intake form is a form that is filled out by chiropractic patients to provide information about their treatment. No coding!

A doctor’s visit appointment form is used by patients to make an appointment with a doctor. An online doctor visit appointment form is used to submit a request or quickly schedule a doctor’s appointment. No coding!

A pregnancy journal form is a record of pregnancies and births for parents to keep when they are having children.

Chiropractic Treatment Booking Form uses an online form template to quickly book appointments with a chiropractor. No coding!

Allow the patient to keep their health data up to date by letting them fill out this Patient Information Update Form. This form template can be opened on any device that has an internet browser.

Easy appointment scheduling for your virtual clinic. Free online booking form. Easy to customize, embed, and integrate. HIPAA compliance option. No coding.

Collect COVID-19 vaccine orders online. Fill out on any device. Easy to customize, embed, and share. HIPAA compliance option. Convert responses to PDFs automatically.

A patient progress report is a form that helps track the progress of patients and share their information from one location to the next. No coding is required.

Have a better visit scheduling process and limit the visitors at your office and promote health safety by using this Office Visit Scheduling Form. This form is required to be filled out by visitors in order to schedule a visit.

A child health assessment form is a questionnaire used by pediatricians to collect information about a child’s health. Get the information you need, fast, with Jotform’s free online Child Health Assessment Form.

Arrange your customer's visit schedule and stay organized with Jotform's Visit Appointment Form. Collect your visitor's contact details and ask their purpose of visit. Fully customizable. No coding required.

Assess the newborn physically and check the reflexes and motor function by using this Newborn First Doctor Appointment. This form template contains important fields in doing a physical exam of the newborn.

A teleconsultation registration form is a form used by medical services to signing up patients for future appointments. No coding!