Healthcare Forms
Coronavirus Self Declaration Form
Employees can complete this form online and report any COVID-19 symptoms they may have. No coding is required. HIPAA compliance option.
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Screening Checklist For Visitors And Employees
Prevent the spread of COVID-19 with a free Screening Checklist for Visitors and Employees. Ideal for hospitals or other organizations staying open during the crisis.
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Coronavirus Case Report Template
People can report suspected cases of COVID-19 in their workplace or community. Easy to customize, integrate, and share online. No coding required.
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Group Therapy Informed Consent Form
A Group Therapy Informed Consent Form is a consent-collection document used by therapists or facilitators in informing their potential clients about the kind of services they provide.
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Counseling Intake Form
The Counseling Intake Form allows for an easier client registration process as it automates gathering information from your clients, reduces paperwork and helps to keep patient records in a systematic way.
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Coronavirus Self Assessment Form
Stay on top of COVID-19 prevention with a free online Coronavirus Self-Assessment Form. Send to patients who may have the virus. Collect data from any device.
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Mental Health Intake Form
Perform patient intake online. Collect medical history, supporting documents, and fee payments. Protect patient data with optional HIPAA compliance.
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Teletherapy Consent Form
Collect informed patient consent and e-signatures online with a free Teletherapy Consent Form. Great for remote medical services. Get HIPAA compliance today.
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Telehealth Consent Form
Get informed consent from patients online. Collect electronic signatures. Easy to customize for your practice.
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Life Coach Intake Form
A Life Coach Intake Form is a form template designed to streamline the coaching process for life coaches.
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Telemedicine Consent Form
Get consenting e-signatures online from your patients. Add terms and conditions without coding.
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Doctor Referral Form
Efficiently write your Doctor Referral form by directly providing the information in the form. Send your referrals instantly using this Doctor Referral Form.
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Psychology Informed Consent Form
A Psychology Informed Consent Form is a form template designed to acquire the consent of a person for a researcher or doctor's psychological study or treatment purposes.
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Mental Health Assessment Form
Determine the mental state of an individual by performing a mental health exam using this Mental Health Assessment Form. This form is effective in diagnosing mental health status.
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Medical Examination Report Form
A Medical Examination Report Form is a document required to complete by an individual in order to qualify for a new job or maintain their current job.
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Caregiver Consent Form
Collect informed consent and e-signatures from parents with this free online Cargiver Consent Form. Ideal for healthcare organizations. HIPAA compliance option.
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Guest Self Declaration Form COVID 19
Self Declaration form for Hotels or Other Businesses with required necessary details as directed by MoHA, CDC and WHO.
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COVID 19 Client Health Questionnaire
The COVID-19 Client Health Questionnaire is a document that physicians and vaccine experts use to collect information from their clients. Just customize this template without coding!
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Reiki Intake Form
Collect client contact info and e-signatures online with a free Reiki Intake Form. Easy to customize, embed, and fill out on any device. Sync with 100+ apps.
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Medication Error Report Form
Report an incident to the appropriate authority where there's an error in providing medicine to the patient by using the Medication Error Report Form. Embed this form to your webpage or share it using the direct link.
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Physician Referral Form
Refer patients to other physicians and collect referrals online. Easy to customize and embed. Integrate with 100+ apps. HIPAA friendly features option. No coding.
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Testing Appointment Form
Schedule appointments for suspected patients of coronavirus and other diseases. Easy to customize, integrate, and embed. No coding.
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Virtual Care Appointment Form
Easy appointment scheduling for e-visits. Great for telemedicine! HIPAA compliance option. Embed anywhere. Integrate with 100+ apps. No coding required.
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CAHPS Clinician & Group Survey Version 3.0 (Adult)
Gather feedback from adult patients online. CAHPS Clinician and Group Survey for healthcare providers. Add supplemental items from AHRQ. No coding required.
CAHPS Health Plan Survey Version Adult Medicaid Survey 5.0
Get patient feedback about their current health plan. Free CAHPS Health Plan Survey for medical organizations. Easy to share and fill out on any device. No coding.
CAHPS Cancer Care Radiation Therapy Survey
Readymade online CAHPS survey. Collect feedback from cancer patients receiving radiation therapy. Fill out on any device. Upgrade for HIPAA compliance.
CAHPS Health Plan Survey Version Child Medicaid Survey 5.0
Get patient feedback about their current health plan. Free CAHPS Health Plan Survey for medical organizations. Easy to share and fill out on any device. No coding.
Chiropractic Intake Form
Check the needs of the patient by using this Chiropractic Intake Form. This will serve as a health record of the patient where the chiropractors can base on how they will proceed with the treatment.
Chiropractic Informed Consent Form
Build your Chiropractic Informed Consent Form through a prepared template. Don't spend hours on researching what to have on your template and use this guide instead. Or you can use this template instantly! Copy this template to your Jotform account. It's free!
Chiropractic Treatment Intake Form
A chiropractic treatment intake form is a form that is filled out by chiropractic patients to provide information about their treatment. No coding!
Chiropractic Treatment Booking Form
Chiropractic Treatment Booking Form uses an online form template to quickly book appointments with a chiropractor. No coding!
Passenger Disclosure And Attestation To The United States Of America
Follow CDC requirements with this free passenger attestment form for airlines and aircraft operators. Turns form submissions into PDFs automatically. No coding.
COVID 19 Liability Waiver
Receive signed liability waivers and e-signatures online with our free COVID-19 Liability Waiver form. Easy to customize and share. No coding is required.
COVID 19 Vaccine Consent Form
Collect signed COVID-19 vaccine consent forms online. Easy to customize, share, and fill out on any device. Upgrade for HIPAA friendly features. Convert to PDFs instantly.
COVID 19 Liability Release Waiver
Start collecting your participants' liability release waiver for this pandemic using this COVID-19 Liability Release Waiver Template. Just connect your device to the internet and load your form and start collecting your liability release waiver. Get this here in Jotform!
Medical Report Form
A medical report form is a document used by medical professionals for documenting a patient’s medical treatment.
Online Doctor Appointment Form
An online doctor appointment form is used by medical practices to schedule medical appointments through the practice website.
New Patient Enrollment Form
New Patient Enrollment Form which personal information, contact information, emergency contact people area and medical history information are provided; allowing you to have an easier and faster registration process.
Patient Feedback Form
A patient feedback form is a survey with questions that allows medical doctors to gather feedback from patients regarding their overall experience with the clinic.
Patient Supplies Order Form
Keeping a clear and organized medical order in the healthcare business is important because it saves time and enhances the efficiency of their medical order. This patient supplies order form is mostly used by medical staff and hospitals. The objective of this form is to assist and help medical staff for keeping the records of used supplies by patients. The form will need information such as patient information and medical supply information. The costs incurred for each service and the materials are also needed to complete the form.
COVID 19 Daily Health Screening Form
Receive coronavirus screening forms online. Great for students, clients, employees, and more. Easy to customize, embed, and share. Fill out on any device.
Palliative Care Assessment Form
Classify the type of care that the patient with severe illness is needed by using this Palliative Care Assessment Form. This form is simple yet contains all necessary health questions to diagnose the patient correctly.
Hospice Patient Satisfaction Survey
Hospice patient satisfaction surveys are inquiries used by medical providers to seek feedback from patients about their hospice care. Collect patient feedback with a free online Hospice Patient Satisfaction Survey.
About Healthcare Forms
Our collection of online healthcare form templates makes it easier to register new patients and learn about their medical history. Jotform’s online form builder provides healthcare practitioners with an array of widgets, applications, and themes to enhance patient engagement — enabling better communication between patient and provider to better understand patients and their needs.
Get started by choosing one of our healthcare templates or start customizing your own. Additionally, Jotform offers a simple way to update medical history, acquire consent e-signatures, collect bill payments, find new business, and more. Jotform also offers HIPAA compliance features so your healthcare forms stay secure.
Frequently Asked Questions
What are health forms used for?
Health forms have several important uses across the healthcare system. First, they are used to collect essential information about a patient’s medical history, current health status, and insurance details, making them a crucial aspect of the patient onboarding process. They also facilitate effective patient care by providing healthcare providers with an overview of a patient's medical history, which can drive proper diagnosis and treatment plans.
Health forms are generally handled in the administrative department of healthcare organizations, and they can aid in billing and insurance processing as well as legal and regulatory compliance. Carefully filing healthcare forms helps healthcare institutions adhere to laws and regulations related to patient privacy and data security. All in all, health forms are essential for ensuring quality healthcare and records.
How can healthcare services benefit from digital forms?
Taking healthcare services online can help streamline time-consuming manual tasks that bog down healthcare data collection. Digital forms allow patients to easily fill out forms online before their appointments, reducing time spent on manual data entry for administrative staff. Digital forms can also be customized to suit specific patient and healthcare needs, which allows healthcare providers to gather the relevant information they need.
With digital forms, healthcare providers can also retrieve patient data quickly rather than needing to sift through files. Digital healthcare forms also enhance overall patient experience by allowing them to complete forms online before an appointment, and review and update their medical history as needed. As such, they help to facilitate a more efficient, streamlined, and patient-centric healthcare experience.
What are the subtypes of health forms?
There are many different types of health forms across the healthcare industry, and they can cover everything from insurance to medical history to discharge. The main types of health forms are telehealth forms, patient registration forms, pharmacy forms, hospice forms, hospital release forms, and medical surveys. However, these forms can also cover topics like informed consent, prescriptions, insurance claims, and referrals.
View our full collection of online healthcare form templates below.
These templates are suggested forms only. Before using this or any form as a contract or other legal document, please consult with an attorney to make sure it meets the legal needs or your situation. Do not use this form to send a legal request to Jotform.