Online Forms for Healthcare Professionals

Stay on top of the healthcare data management game with a streamlined and secure method of collecting and organizing data offered by MakeForms.

With our form fields, conditional logic, workflows, and team collaboration features, healthcare organizations can easily create customized forms for patient registration, appointment scheduling, prescription requests, and more. Our custom branding and domain mapping feature also allows healthcare organizations to create a professional and recognizable brand identity.

Furthermore, our security compliance and privacy compliance features ensure that healthcare organizations can trust MakeForms with sensitive patient data. With HIPAA, GDPR, PIPEDA, CCPA, and Australia DPA compliance, healthcare organizations can rest assured that their patient’s data is being collected and stored securely and in compliance with industry regulations.

MakeForms also offers a range of security features such as data encryption, password protection, and access control lists. Our form builder is hosted on a secure and hybrid cloud infrastructure, which means that healthcare organizations can trust that their data is being stored safely and privately.

MakeForms offers three different form types: One At A Time, Step Forms, and All At Once. This means that healthcare organizations can choose the best format for their specific needs and ensure a positive user experience for patients.

Here are 7 tips for creating effective online forms in the healthcare industry with MakeForms:

Keep it simple:

Make sure that your form is simple to read and complete. Reduce the number of required fields, ask clear, short questions, and use plain language.

Use conditional logic:

With the use of conditional logic offered by MakeForms, you can show or hide fields based on the user’s prior response. Your forms could become shorter and simpler to complete as a result.

Use branding:

You can customise your forms your to add company’s brand colors, logo, and font. This can help to make your forms look more professional and trustworthy.

Test your forms:

Test your forms to ensure proper execution before publishing. To ensure that users can fill out the form without any problems, check the form’s layout, field ordering, and form validation.

Make it mobile-friendly:

It’s critical to check that your forms are mobile-friendly because more people are using mobile devices to access the internet. MakeForms provides responsive form layouts that instantly adapt to fit any device.

Ensure data security and compliance:

MakeForms enables compliance with HIPAA, GDPR, PIPEDA, CCPA, and Australia DPA to guarantee that your data is secure and protected.

Use analytics:

Using analytics tools, MakeForms enables you to monitor form submissions and user behavior. You may utilize this to better understand how users are interacting with your forms and adjust them as necessary.

By following these tips, you can create an online form that is user-friendly, professional, and effective in capturing data.

The types of questions to include in a form for the Healthcare Industry:

Patient Information: Name, address, date of birth, gender, occupation, phone number, email address, emergency contact details.
Medical History: Previous medical conditions, surgeries, allergies, medications, family medical history.
Symptom Assessment: Specific symptoms, their duration and severity, associated factors, and related medical conditions.
Appointment Scheduling: Preferred date and time for appointment, reason for the visit, previous appointment history.
Insurance Information: Insurance provider name, policy number, primary care physician, and any other relevant details.
Consent and Authorization: Permission for the healthcare provider to access and share patient information as needed.
Payment Information: Payment method, insurance coverage, co-payment amount, billing address.
Patient Feedback: Patient satisfaction surveys, feedback on healthcare services, and suggestions for improvement.

There are various types of healthcare forms, each with a specific purpose:

Patient registration form

Collect information about the patient, such as name, address, contact information, medical history, etc.

Appointment booking form

Schedule appointments with doctors, therapists, and other healthcare experts efficiently.

Feedback form

Receive feedback from patients about their experience with healthcare services.

Prescription refill form

You can ask medical professionals for prescription refills using this form.

Patient satisfaction survey

Gauge how satisfied patients are with healthcare services and pinpoint areas for development.

Medical release form

You can use this form to ask healthcare providers for their medical records.

Insurance verification form

Gather insurance information and confirm patient insurance coverage.

Insurance verification form

Gather insurance information and confirm patient insurance coverage.

Health assessment form

Patients’ health information can be gathered and may be utilized to spot any potential health problems.

Medical history form

A patient’s medical history, including previous illnesses, operations, and medications, can be gathered.

Informed consent form

Obtain patients’ informed permission for surgeries or treatments.

Emergency contact form

Effectively collect patients’ emergency contact information.

Patient feedback survey

Acquire patients’ opinions about their experiences with particular healthcare services, such as hospital stays or procedures.

Donation form

Collect donations for healthcare-related purposes, such as research or fundraising activities.

Job application form

Collect job applications for opportunities relating to healthcare.

Volunteer registration form

Record registrations for volunteer opportunities in the healthcare industry.

Patient intake form

Gather basic patient data prior to a visit to a healthcare professional.

Mental health screening form

Screen for mental health problems and to identify patients who might require additional testing or treatment.

Physical therapy intake form

Record the medical background and physical therapy requirements of a patient.

MakeForms For Healthcare

Keep it simple:

Use conditional logic:

Use branding:

Test your forms:

Make it mobile-friendly:

Ensure data security and compliance:

Use analytics:

There are various types of healthcare forms, each with a specific purpose:

Patient registration form

Appointment booking form

Feedback form

Prescription refill form

Patient satisfaction survey

Medical release form

Insurance verification form

Insurance verification form

Health assessment form

Medical history form

Informed consent form

Emergency contact form

Patient feedback survey

Donation form

Job application form

Volunteer registration form

Patient intake form

Mental health screening form

Physical therapy intake form

Browse free templates here

Make precise evaluations
with MakeForms!

Our Products

Form Builder

Workflow Builder

OTP Verification

Data Views

Applications

Survey

Use Cases

Form Types

One At A Time

Step Forms

All At Once

Form Builder Features

Security Compliance

Privacy Compliance

Security Features

MakeForms For Healthcare

Keep it simple:

Use conditional logic:

Use branding:

Test your forms:

Make it mobile-friendly:

Ensure data security and compliance:

Use analytics:

There are various types of healthcare forms, each with a specific purpose:

Patient registration form

Appointment booking form

Feedback form

Prescription refill form

Patient satisfaction survey

Medical release form

Insurance verification form

Insurance verification form

Health assessment form

Medical history form

Informed consent form

Emergency contact form

Patient feedback survey

Donation form

Job application form

Volunteer registration form

Patient intake form

Mental health screening form

Physical therapy intake form

Browse free templates here

Make precise evaluations with MakeForms!

Make precise evaluations
with MakeForms!