Replace Paper Forms with Secure Web Forms for The Healtchare Industry

123ContactForm Medical Web Forms

Patient registration  forms, patient satisfaction surveys, medical history forms, medical release forms, health surveys these are all common forms for the healthcare industry. From various providers, healthcare organizations and professionals to their patients, everyone uses them.

In today’s day and age, paper forms can be easily replaced in order to simplify and speed up the process of collecting patient information, recording clinical data or laboratory results. Our Form builder will help you securely collect data through web forms. You can choose from a wide variety of free templates( we currently provide 12 templates only for the Healthcare Field)  or handily build your own. These are our most recently added templates:

The Medical Release Form template– a form that can be used to allow a child to be treated even if the parent is not available

The Medical Card Application Form template– a faster way to obtain a medical card

The Health Assessment Questionnaire template– a form to evaluate a patient’s health condition

The Health Insurance Claim Form template– for your health insurance company

And this is how a branded and customized health assessment questionnaire can look like:

Health Assessment Questionnaire

As you can see, pre-built forms make everything a breeze. You don’t have to worry about security when collecting and administering sensitive data, because 123ContactForm is HIPAA compliant. Our Form Builder allows you to carefully create autoresponders/ confirmation messages, enable SSL Encryption and set a password for your forms. 123ContactForm also makes paperless signing possible. You can now use the digital signature feature to securely gather signatures from you form respondents.

A great solution for improving process quality and efficiency, delivering better results and transforming healthcare? Secure Web forms . Try it for yourself!

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. Stephen says:

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