Refusal to Vaccinate Form
Document guardian refusals to vaccinate their children with Jotform’s Refusal to Vaccinate Form template. Instead of printing out paper copies and waiting for physical signatures, Jotform Sign allows you to go paperless and get your forms filled out quickly and efficiently. Simply customize to your liking, send out, and collect the signatures you need from parents or guardians. You’ll receive a notification and a finalized version of the document once each signature has been collected.
Need to make changes to this Refusal to Vaccinate Form template? Use our intuitive drag-and-drop form builder to add images, change fonts and colors, add more signature fields, and more. Once your Refusal to Vaccine Form is filled out and completed, you can instantly download it for your records or share it with other involved parties. Create a signature form that works best for your office with Jotform Sign.
Release of Medical Information Template
Build a release of medicational information form in seconds. Works on any device. Android and iOS compatible. Converts to a PDF. No coding knowledge required.
Medical Release Form
Create a professional medical release form for your clinic or practice. Easy to customize and share. Works on any device. Download finalized document as a PDF.
Release of Information Template
The Release of Information Template is a document that authorizes the disclosure of official or medical records to specific individuals or organizations
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.
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.
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.