Telehealth Forms

8 Templates

Sample Request Form

A sample request form is a quick and easy way to ask for examples of a product or service from a business.

Virtual Care Appointment Form

Easy appointment scheduling for e-visits. Great for telemedicine! HIPAA compliance option. Embed anywhere. Integrate with 100+ apps. No coding required.

Healthcare Forms

Telemedicine Appointment Form

Let patients request virtual appointments online. Add a calendar field without coding. HIPAA compliance features. Perfect for telemedicine providers.

Healthcare Forms

Telemedicine E Visit Request Form

Accept requests for e-visits through this free online appointment form. Easy to customize. embed, and share. Integrate with 100+ apps. HIPAA compliance features.

Telehealth Forms

New Patient Appointment Form

Schedule appointments online for new patients. Easy to customize and embed. Sync to Google Calendar, Zoom, and 100+ apps. HIPAA friendly features option. No coding.

Healthcare Forms

Virtual Clinic Appointment

Easy appointment scheduling for your virtual clinic. Free online booking form. Easy to customize, embed, and integrate. HIPAA compliance option. No coding.

Healthcare Forms

Critical Incident Response Scheduling An Individual Session

Scheduling 1:1 appointments - integration with Zoom.

Telehealth Forms

Telemedicine Access Form

The Telemedicine Access Form allows healthcare providers to collect essential patient information for virtual consultations, streamlining the telehealth process and ensuring timely care.

Healthcare Forms

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.