Alumni Health Professions Network Registration Form

Connect with Healthcare Alumni and Grow Your Professional Network

Building a strong professional network is essential for healthcare practitioners—whether you're looking for peer referrals, collaboration opportunities, or simply want to stay connected with fellow graduates in the medical field. This Alumni Health Professions Network Registration Form makes it easy for educational institutions to create a comprehensive directory of healthcare alumni while capturing critical professional details like licensure, specialties, and referral preferences.

Why Use This Template?

Healthcare alumni networks serve multiple purposes: they help graduates connect for professional development, create referral networks that benefit patients, and strengthen ties between alumni and their alma mater. This form template is designed specifically for universities, medical schools, nursing programs, and allied health education programs that want to maintain an active, engaged community of healthcare professionals.

With Paperform, you can customize this template to match your institution's branding, add conditional logic to show relevant questions based on profession type, and collect structured data that makes building a searchable alumni directory effortless. The form includes fields for professional licensure verification, specialty areas, practice details, and patient referral acceptance—everything needed to create a valuable resource for your alumni community.

Key Features of This Template

• Professional credential capture including license numbers, specialty areas, and practice information
• Patient referral preferences to facilitate peer-to-peer referrals within the network
• HIPAA compliance acknowledgment to ensure alumni understand privacy requirements
• Alumni discount opt-in to promote special benefits for fellow graduates
• Contact and practice details for easy directory creation

Automate Your Alumni Engagement with Stepper

Once alumni submit their registration, you can use Stepper to automatically add them to your alumni database, send welcome emails with directory access, trigger different workflows based on their specialty area, and keep your CRM or membership platform updated in real-time. Stepper's AI-native automation means you can create sophisticated alumni engagement workflows without any coding.

Whether you're building a new healthcare alumni network or refreshing an existing directory, this Paperform template gives you a professional, HIPAA-aware starting point that respects the unique needs of healthcare practitioners while making registration simple and efficient.