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Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.
See all solutions
Connect with over 2,000 popular apps and software to improve productivity and automate workflows
See all integrations
Finding qualified participants is one of the most critical—and challenging—aspects of conducting clinical research. Whether you're a clinical research organization (CRO), academic institution, pharmaceutical company, or healthcare provider running clinical trials, you need a reliable way to screen, qualify, and onboard study participants efficiently while maintaining the highest standards of compliance and informed consent.
This Clinical Trial Participant Application Form template is designed specifically for research teams who need to collect detailed medical histories, screen candidates against inclusion and exclusion criteria, document informed consent, and manage participant preferences—all in one secure, professional form.
Traditional clinical trial recruitment often involves paper-based forms, multiple phone screenings, in-person visits just to determine eligibility, and fragmented data collection across different systems. This creates delays, increases drop-off rates among potential participants, and makes it harder to identify qualified candidates quickly.
With Paperform, you can create a comprehensive digital application that:
This template is ideal for:
Whether you're recruiting for cardiovascular studies, oncology trials, vaccine research, or any other therapeutic area, this form provides a solid foundation that you can customize to your specific protocol requirements.
Comprehensive Medical History Collection
The form gathers essential health background information including previous diagnoses, surgical history, family medical history, and lifestyle factors—giving your research team a complete picture of each candidate's health profile before the first screening visit.
Current Medications and Supplement Tracking
Dedicated sections capture all current medications, dosages, and supplements, helping you quickly identify potential drug interactions, contraindications, or exclusion criteria related to concomitant medications.
Intelligent Inclusion Criteria Screening
Using conditional logic, the form can evaluate key eligibility requirements based on age, diagnosis, treatment history, and other protocol-specific criteria—automatically flagging qualified candidates and providing immediate feedback to those who don't meet requirements.
Informed Consent Documentation
Present key study information, risks, benefits, and participant rights directly in the form, with acknowledgment fields that create a digital record of informed consent initiation (to be followed by full consent documentation during enrollment).
Compensation Preference Management
Capture participant preferences for compensation method (direct deposit, check, gift cards) and schedule, ensuring smooth payment processing and positive participant experience throughout the study.
HIPAA-Aware Design
While Paperform itself is not HIPAA compliant, this template is structured with privacy and security best practices in mind, allowing you to collect Protected Health Information (PHI) with appropriate safeguards when used within your organization's HIPAA compliance framework and infrastructure.
Once you've collected participant applications, Stepper (stepper.io)—Paperform's AI-native workflow automation tool—can transform each submission into an intelligent, multi-step recruitment process:
This level of automation means your research coordinators can focus on participant relationships and study execution rather than administrative data entry and manual follow-up.
While initial consent acknowledgment can be captured in the application form, full informed consent documentation requires secure, legally-valid signatures. Papersign (papersign.com) integrates seamlessly with your Paperform applications to:
This creates a complete digital consent process that meets regulatory requirements while providing a smooth experience for participants.
Every clinical trial has unique eligibility criteria, data requirements, and regulatory considerations. This template provides a professional starting point that you can easily customize:
Paperform's intuitive editor lets research coordinators make these changes without IT support or developer involvement.
Clinical research demands the highest standards for data integrity and participant privacy. When you use Paperform for clinical trial recruitment:
Remember that while Paperform provides robust security, organizations handling PHI must ensure their overall implementation meets HIPAA requirements through Business Associate Agreements and appropriate safeguards within their technology infrastructure.
Fast, efficient recruitment is critical to study timelines and budgets. By digitizing your participant application process with Paperform, you can:
This clinical trial participant application template gives research teams the tools they need to recruit qualified participants faster, maintain compliance, and deliver professional, participant-centered experiences from first contact through enrollment.
Whether you're recruiting for a small single-site study or a large multi-center trial, Paperform provides the flexibility, security, and automation capabilities to support your research recruitment needs.