Professional Medical Release Template
A professional medical release template is used in the healthcare industry to gather written authorization of the patient in order to disclose confidential medical information. Securely gather e-signatures online from any device with Jotform Sign’s free Professional Medical Release Template. Simply choose this template, customize it to suit your needs, then share it with patients via email.
Customizing this Professional Medical Release Template is easy with Jotform’s powerful online builder. Drag and drop to add or edit form fields, include additional signature fields, set up an automated signing order, upload your practice’s unique branding, and more. Once a patient has signed this document, a finalized PDF document will be automatically sent to your inbox — ready to download, print, and share. Make gathering patient consent a quick and painless process with this customizable template. To send and sign documents in seconds, customize this template and share it with Jotform Sign.
HIPAA Release Form Template
HIPAA (Health Insurance Portability and Accountability Act), also known as Public Law 104-191, is a law passed in the United States that protects and safeguards the privacy of medical information and has two main purposes: First, to provide continuous health insurance coverage to workers who switch jobs or lose their jobs; Second, is to standardize the electronic transmission and transactions for security and protection of information. This law was primarily passed due to proliferation of data breaches concerning health information.This HIPAA Release Form PDF Template is a standard release authorization form for disclosure of health information for healthcare and health insurance providers which the subject or person consents on disclosing his health information to a certain healthcare organization. This HIPAA Release Form PDF Template is easy to modify and flexible to use.
Online Therapy Consent Template
Create an online therapy consent form to gather patient consent. Sign and fill out on any device. Drag and drop to fully customize. No coding knowledge required.
Release of Liability Form
Create a release of liability form to ensure your company is covered in case of an accident. Signable on any type of device — desktop, tablet, and mobile friendly.
Medical Records Release Authorization
Build a medical records release authorization form in seconds. Works on any device. Android and iOS compatible. Converts to a PDF. No coding knowledge required.
Doctors Note Template
Create a doctor’s note for your medical practice. Sign and send to your patients. Works on mobile, tablet, and desktop devices. Drag and drop to design.
Insurance Waiver Template
Create an insurance waiver for employees declining insurance coverage. Works great on any device. Easy to customize and share. No coding knowledge required.
These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.