New Patient Appointment Form Template

About this template

No matter what medicine you practice, our free New Patient Appointment Form will make it easier for patients to schedule their appointments online. All you need to do is customize the form to meet your needs and embed it in your website to start accepting appointment requests! Patients can enter their contact information, select appointment preferences, explain their medical history, and choose a date and time for their appointment from a calendar. You’ll instantly receive submissions in your secure Jotform account, protected by HIPAA friendly features with a plan upgrade.

Customizing your New Patient Appointment Form will only take a few minutes with our drag-and-drop Form Builder. Without any coding, you can add form fields, change the fonts and colors, and even upload your logo to give the template a more personalized look. You can even integrate your New Patient Appointment Form with 100+ third-party apps like Google Calendar, Zoom, and more to instantly create events from form submissions. Onboard new patients and schedule appointments at the same time with a custom New Patient Appointment Form for your medical practice.