Healthcare and Medical Forms- Benefits And Tips

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123ContactForm Healthcare and Medical Forms


There is no doubt that we are currently living in the age of technology. The benefits are all around us and can be seen in everything, especially in the modernization of information and communication processes. The healthcare industry is also trying to adapt in order to meet the ever-changing needs of today’s patients.

With a web form builder you can forget about paperwork and concentrate on helping your patients. Use 123ContactForm to power your healthcare forms .

Healthcare providers (hospital, clinic, nursing home, private practice…) or practitioners of all types( physicians, dentists, psychiatrists, psychologists, therapists, clinicians, social workers…) can easily use our Free Web Forms Builder for various needs. 123ContactForm allows you to build your own customized healthcare and medical forms to record patient information, clinical data, laboratory results and more.
Start with a healthcare form template. These are the Free Form Templates we currently offer for Healthcare: Digital Signature Form, Enquiry Form, Health Survey, Medical History, Multilanguage Form, Online Survey, Patient Registration Form, Patient Satisfaction Survey. This doesn’t mean that you can’t adapt one of these templates to your needs by adding more fields or deleting the existing ones. You can also start from scratch with just a blank form.

SCENARIO 1. : Dr. Fox is a veterinarian.It is his goal to provide top quality veterinary care. He uses an online pet evaluation form so that pet owners can evaluate their dogs before making an appointment. 

Here it is:

Pet evaluation form


SCENARIO 2. : MedHealthPlanet Hospital’s mission is to offer the very best private healthcare. That is why they use patient surveys as a part of an ongoing effort to improve patient satisfaction.

It can look like this:

Patient Survey


These are just two examples of how 123ContactForm can help you create healthcare forms. You can also easily create medical history forms, health surveys, patient registration forms, medical insurance applications or even medical reimbursement claims.

Take advantage of our many features and collect secure data, add digital signatures, send confirmation emails to patients, collect payments and more. One of 123ContactForm’s priorities is to offer the necessary secure environment for customers who are subject to the requirements of the Health Insurance Portability and Accountability Act (HIPAA). We provide all the security options needed to create forms and collect data safely in a HIPAA compliant manner.

Have a great time building healthcare forms with 123ContactForm!


medical forms

Claudia Borceanu
Claudia Borceanu
is a Social Media Community Manager at 123ContactForm. She manages our social media presence and contributes to the overall communication strategy. Claudia loves nature, music, reading, traveling and learning new things.

1 Comment

  1. Appreciate this post. Will ttry it out.

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