Back To Templates

Get This Template

Patient Healthcare & Medical Forms

Collect medical history forms, insurance applications,
healthcare leads, and more with online forms.

Try It Free

Spend less time on paperwork,
and more time helping patients.

Use Formstack to build a variety of medical and healthcare forms such as medical history forms, appointment requests, insurance applications, medical reimbursement forms and more. Our forms let you collect secure data, add e-signatures, schedule dates into your Google calendar, send confirmation emails to patients, and even collect payments. Additionally, all patient information can be stored securely and organized in your Formstack account. Get started now with one of our medical form templates below.

Key features for serving your patients.

mobile responsive

Mobile Responsive

All of our forms are accessible on any mobile device, including phones and tablets. Meet your patients where they are and make the experience simple.

signatures

Electronic Signatures

Add an electronic signature field, and get those medical forms signed on the spot or even ahead of time. No hassle involved.

encryption

Advanced Data Security

Choose security features for your specific needs. Avoid spam with CAPTCHA, or use PGP email encryption to protect emails with sensitive data. Lock your account with data encryption so powerful Formstack can't even access it.

Start with a healthcare form template.

Work smarter with powerful online forms.
Sign up for a Formstack 14-day FREE trial to effectively manage data for your business with signup forms, surveys, order forms, event registrations, and more.

Try It Free