Jotform Health: Medical Forms

In-app purchases
4.0
58 reviews
5K+
Downloads
Content rating
Everyone
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About this app

Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms β€” with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

πŸ› οΈ Create Forms Without Coding
Building a HIPAA-friendly form with Jotform takes just a couple of minutes and zero technical skills. You can make your own form or use our professional healthcare form templates.

βš•οΈ Follow HIPAA Regulations
Our HIPAA compliance features encrypt form submission data automatically, guaranteeing the privacy of your patients'’ health information. You can also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

πŸ“… Schedule Appointments
Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

✍️ Obtain Informed Consent
Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with an electronic signature. You can even convert each submission into a downloadable, printable PDF!

πŸ’³ Accept Medical Bill Payments
Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.net. You won’t have to pay any additional transaction fees.

πŸ“‘ Collect Patient Signatures and Files
Patients can easily sign their forms with electronic signatures and attach important medical documents, images, and other files.

πŸ”— Integrate with 100+ Apps
Connect your forms and surveys to other software to sync submissions automatically and make patient data more organized and accessible for your team.



🀳 Enable Mobile Responses
All forms are mobile-responsive and can be filled out on any smartphone, tablet, or computer with ease. Patients can check in for their appointments, register as new patients, or update their medical history directly on your office’s device.

πŸ—ƒοΈ Streamline Your Workflow
Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients β€” or seamlessly integrate with other software.

KEY FEATURES

Automate Your Workflow
βœ“ Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
βœ“ Add conditional logic, calculations, and widgets
βœ“ Set up autoresponders to send confirmation emails and reminders
βœ“ Get notified of submissions instantly with push notifications
βœ“ Collect multiple submissions at once with kiosk mode
βœ“ Provide a contactless form-filling experience for your patients with QR codes

Collaborate with your team
βœ“ Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
βœ“ Assign forms to patients or colleagues and view their responses

Advanced Form Fields
βœ“ Appointment calendar
βœ“ GPS location capture
βœ“ QR code and barcode scanner
βœ“ Voice recorder
βœ“ Signature capture (24/-7 mobile sign)
βœ“ File upload
βœ“ Take photo

Keep Patient Data Safe
βœ“ 256-bit SSL encryption
βœ“ PCI DSS Level 1 certification
βœ“ GDPR compliance features
βœ“ HIPAA compliance features
Updated on
Aug 28, 2024

Data safety

Safety starts with understanding how developers collect and share your data. Data privacy and security practices may vary based on your use, region, and age. The developer provided this information and may update it over time.
This app may share these data types with third parties
App info and performance
This app may collect these data types
Personal info, App activity, and Device or other IDs
Data isn’t encrypted
You can request that data be deleted

Ratings and reviews

4.1
54 reviews
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