A pharmacy COVID-19 waitlist form is used by pharmacies to collect information from patients registering for the coronavirus vaccine waitlist. With Jotform’s online Pharmacy COVID-19 Waitlist Form, you can securely collect contact information, determine which tier or priority level each patient belongs to, and let them select their preferred vaccination location. Just customize the form template and share or embed it in your website to start receiving responses from any device — then expertly organize and manage your information in Jotform Tables as a spreadsheet, calendar, or easy-to-read cards.
Customize this form template in seconds with Jotform’s user-friendly Form Builder. Drag and drop to add your company logo, change fonts and colors, rearrange the layout, and more. Jotform keeps sensitive data protected with GDPR and CCPA friendly features, and the option to opt into HIPAA friendly features, so you can enjoy peace of mind knowing that your patients’ information is stored securely. Streamline your vaccine distribution process with an online Pharmacy COVID-19 Waitlist Form!