What is a health declaration form?

A Health Declaration Form is a document used to collect important health information from individuals, such as symptoms, recent travel history, and potential exposure to infectious diseases. It helps organizations assess an individual's health status and ensure the safety of their premises.

Who can benefit from using the health declaration form?

Travelers, patients, employees, event attendees, students, and visitors to public places can benefit from using the Health Declaration Form. It is designed for use in healthcare facilities, workplaces, public events, educational institutions, hotels, public transportation, government buildings, long-term care facilities, sports centers, and restaurants.

How can I create a health declaration form?

You can easily create a Health Declaration Form using Jotform's user-friendly and intuitive online form builder. It offers a drag-and-drop interface and customizable options to meet your specific needs. Simply select the Health Declaration Form template and customize it according to your requirements.

What are the key components that should be included in a health declaration form?

A comprehensive Health Declaration Form should include fields for capturing symptoms, medical history, potential exposure to infectious diseases, contact information, and consent for data collection and sharing.

What are the benefits of using Jotform for creating a health declaration form?

It’s easy to create and customize a Health Declaration Form with Jotform. It’s also easy for form fillers to complete these forms. Jotform Sign provides a secure way to collect electronic signatures through a Health Declaration form. In addition, with Jotform’s integration capabilities, you can seamlessly transfer form data to popular apps.

Health Declaration Form Template

Health Declaration Form

About this template

A health declaration form is a document that declares the health of a person to the other party. It is used when a person is traveling to a foreign country to verify that the person is free from any infectious diseases or is not a carrier of the disease. This form helps quarantine stations to prevent the spread of infectious diseases and ensures that the person is not a carrier of the disease. It also covers information about the person’s contact details and the history of the diseases that the person is suffering from. The health declaration forms are used in various types of visa application forms. It is also used for immigration to many countries.

Before submitting, you can preview how the form will look on any device to make sure it’s perfect. If you’d like to keep information private, Jotform offers compliance options, keeping your information protected from current and potential damages. And by connecting with 100+ apps and platforms, you can automatically send collected responses to the account of your choice — integrate with Google Drive, Dropbox, Box, Salesforce (also available on Salesforce AppExchange), and more. See applicants' health history with a free health declaration form.

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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.