Can the doctor referral form be customized to fit my specific needs?

Yes, the Doctor Referral Form is fully customizable. You can add or remove fields, change color schemes, and even add your logo to match your brand.

How does the doctor referral form enhance collaboration in a healthcare setting?

The Doctor Referral Form boosts collaboration by allowing you to share patient information across teams, departments or with other healthcare providers in a secure and efficient manner.

Is the data collected through the doctor referral form secure?

Absolutely. Jotform takes data security seriously and employs advanced security measures to protect the information collected through the Doctor Referral Form.

Can I automate the process of sending emails using the doctor referral form?

Yes, with Jotform, you can set up automated email notifications that are triggered each time a new referral is submitted.

Is the doctor referral form mobile-friendly?

Yes, the Doctor Referral Form is designed to work perfectly on all devices, including desktops, tablets, and mobile phones.

How exactly does the doctor referral form streamline the workflow?

The Doctor Referral Form helps to reduce manual entry and the time spent on administrative tasks, allowing healthcare professionals to focus more on patient care.

Is it possible to integrate a payment gateway into my doctor referral form?

While the Doctor Referral Form is primarily used for facilitating patient referrals, it does support integration with a range of payment processors if your use case requires it.

How do I go about sharing the doctor referral form with my patients or other healthcare providers?

Sharing the Doctor Referral Form is easy. Once you've customized the form to your liking, you can share it by email, embed it on your website, or even share a direct link on your social media platforms.

How long does it take to set up a doctor referral form?

Setting up a Doctor Referral Form is quick and simple. With our easy-to-use form builder, you can have your tailored form ready in just a few minutes.

Doctor Referral Form Template

Healthcare Forms

28 Templates

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.

Healthcare Forms

Mental Health Intake Form

Perform patient intake online. Collect medical history, supporting documents, and fee payments. Protect patient data with optional HIPAA compliance.

Healthcare Forms

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.

Healthcare Forms

Telehealth Consent Form

Get informed consent from patients online. Collect electronic signatures. Easy to customize for your practice.

Healthcare Forms

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.

Healthcare Forms

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.

Healthcare Forms

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.

Healthcare Forms

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.

Healthcare Forms

Client Consent For Salon Services During COVID 19 Pandemic

A client consent form for salon services is a template used by salons to acquire the legal rights to administer COVID-19 vaccinations during a COVID-19 pandemic.

Business Forms

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.

Healthcare Forms

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.

Healthcare Forms

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!

Healthcare Forms

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.

Telehealth Forms

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.

Healthcare Forms

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.

Healthcare Forms

Testing Appointment Form

Schedule appointments for suspected patients of coronavirus and other diseases. Easy to customize, integrate, and embed. No coding.

Healthcare Forms

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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Coronavirus Response Forms

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Vacation And Sick Leave Form

Manage employee time off with JotForm. Easy to customize, embed and share. No coding required. Fill out on any device. Great for HR managers and business owners.

HIPAA Compatible Forms

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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.

Hospice Forms

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Hospice Volunteer Application Form

Accept Hospice Volunteer applications online using this Hospice Volunteer application form! Simply copy this form to your Jotform account and immediately publish it to your website!

Medical Surveys & Questionnaires

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Social Worker Intake Form

Collect new client information with a free online Social Worker Intake Form. Easy to customize and accessible on any device. Option for HIPAA compliance features.

Musculoskeletal Condition Form

In this form, you will be asked about troubles you may have that involve your muscles, joints and bones (e.g. joint pain, swelling). The form is divided by body regions and you will only have to answer those you have concerns with.

Home Healthcare Report Form

A home healthcare report form is used by home healthcare organizations to document information about their patients.

Medication Management Questionnaire

A pre-visit questionnaire for medication management is a form that doctors or other medical staff can give to their patients, requesting certain information about medications.

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Patient Registration Form Templates

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Medical Insurance Verification Form Template

A Medical Insurance Verification Form Template is a form template designed to streamline the process of verifying coverage details and insurance eligibility for healthcare providers, hospitals, and medical clinics

First Steps ED Referral Form

Referral Form

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.

Medicare Enrollment Form

GSWO Health Information And Release Form

Alzheimer Niagara Intake Form Agencies

Patient Appointment Request Form

Survey Feedback

TattooMicroblading Consent Form

Healthcare Forms

Coronavirus Self Declaration Form

Screening Checklist For Visitors And Employees

Coronavirus Case Report Template

Group Therapy Informed Consent Form

Counseling Intake Form

Coronavirus Self Assessment Form

Mental Health Intake Form

Teletherapy Consent Form

Telehealth Consent Form

Life Coach Intake Form

Telemedicine Consent Form

Doctor Referral Form

Psychology Informed Consent Form

Mental Health Assessment Form

Medical Examination Report Form

Client Consent For Salon Services During COVID 19 Pandemic

Caregiver Consent Form

Guest Self Declaration Form COVID 19

COVID 19 Client Health Questionnaire

Reiki Intake Form

Medication Error Report Form

Physician Referral Form

Testing Appointment Form

Virtual Care Appointment Form

Coronavirus Response Forms

Vacation And Sick Leave Form

HIPAA Compatible Forms

Doctor Referral Form

Hospice Forms

Hospice Volunteer Application Form

Medical Surveys & Questionnaires

Social Worker Intake Form

Musculoskeletal Condition Form

Home Healthcare Report Form

Medication Management Questionnaire

Patient Registration Form Templates

Medical Insurance Verification Form Template

First Steps ED Referral Form

About Healthcare Forms

Frequently Asked Questions

What are health forms used for?

How can healthcare services benefit from digital forms?

What are the subtypes of health forms?