A dental office COVID-19 screening form is used by dental offices to register patients for the COVID-19 vaccine. This free online COVID-19 Prescreening Form template is ideal for dental offices that want to sign patients up for the COVID-19 vaccine online — by filling out your COVID-19 Prescreening Form, patients can register for the vaccine at your dental office in one simple step! Simply customize the form to fit the way you prefer to communicate with your patients, embed the form on your website, or share it with a link to start accepting online screenings.
Want to keep data private or track the history of patient responses? Convert all submissions to PDFs automatically with Jotform, and keep everything stored in your favorite storage service — Jotform has 100+ integrations that let you automatically move things around so you get the information you need. If you’d like to use your COVID-19 Prescreening Form on the go, use our free Mobile Forms app — collect responses with your patients and view them on the go. Convert them into PDFs, get a record of their responses, and streamline communication with patients. Are you a dental professional interested in signing up for the COVID-19 Vaccine? Sign up here.