---
title: Hyperbaric Oxygen Therapy Information Request Form Template | Paperform
description: Collect patient inquiries, condition details, insurance information, and schedule HBOT consultations with this professional hyperbaric oxygen therapy request form for clinics and wellness centers.
url: "https://paperform.co/templates/hyperbaric-oxygen-therapy-treatment-information-request-form"
type: static
generatedAt: "2026-03-28T00:44:11.253Z"
---

[← Back to free form templates](/templates/)    ![Hyperbaric Oxygen Therapy Treatment Information Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/hyperbaric-oxygen-therapy-treatment-information-request-form.png)
    [Preview](https://_preview.paperform.co/ai-template/hyperbaric-oxygen-therapy-treatment-information-request-form) [Use this template for free](/create?ai-template=hyperbaric-oxygen-therapy-treatment-information-request-form)    [Contact Forms](/templates/category/contact/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/) [Physician](/templates/role/physician/)[Nurse](/templates/role/nurse/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Hyperbaric Oxygen Therapy Information Request Form

If you're exploring hyperbaric oxygen therapy (HBOT) as a treatment option, getting accurate, personalized information is the first step toward recovery. This **Hyperbaric Oxygen Therapy Information Request Form** makes it simple for patients and caregivers to request brochures, treatment protocols, insurance guidance, and consultation appointments—all in one streamlined experience.

#### Why hyperbaric clinics need a dedicated information request form

HBOT clinics serve patients with diverse conditions—from wound healing and diabetic ulcers to traumatic brain injuries, chronic infections, and post-surgical recovery. Each inquiry is unique, and generic contact forms can't capture the clinical detail needed to provide relevant, helpful information upfront.

This template is designed specifically for hyperbaric medicine providers. It collects key details about the patient's condition, previous HBOT experience, insurance coverage, and availability, so your intake team can respond with the right materials, pre-authorization guidance, and next steps—without endless back-and-forth emails.

#### What makes this template ideal for HBOT clinics

Built for healthcare providers who value both patient experience and operational efficiency, this form includes:

 - **Condition and injury details** to understand the patient's treatment need and urgency
 - **Previous HBOT experience** to tailor information for first-time patients vs. those seeking continued care
 - **Insurance and pre-authorization questions** to streamline billing conversations early
 - **Consultation scheduling** integrated directly into the form, so patients can book while their inquiry is top of mind
 - **Information delivery preferences** (email brochures, printed packets, video consultation) to meet patients where they are

The form uses conditional logic to show relevant follow-up questions based on patient responses—keeping the experience clean and personalized without overwhelming first-time visitors.

#### Save time with Paperform's automation features

Once a patient submits their request, Paperform can automatically send a personalized confirmation email with links to introductory resources, trigger a Slack notification to your patient coordinator, and log the inquiry in your CRM or Google Sheet. If you're using **Stepper**, you can build a full intake workflow that routes insurance inquiries to your billing team, sends condition-specific brochures, and schedules follow-up calls based on the patient's availability—all without manual data entry.

For clinics managing multiple providers or locations, Paperform's scheduling fields and calendar integrations ensure consultation requests land with the right clinician at the right time.

#### Trusted by healthcare providers who care about compliance and patient trust

Paperform is **SOC 2 Type II compliant**, with secure data handling, encryption, and access controls that meet the standards healthcare organizations require. While Paperform is not HIPAA compliant, it's a strong fit for pre-intake inquiries, information requests, and appointment scheduling where full PHI is not yet collected.

This template is ideal for hyperbaric medicine clinics, wound care centers, sports medicine practices, integrative health providers, and rehabilitation facilities offering HBOT as part of a broader treatment plan.

Whether you're a solo practitioner or a multi-location clinic, this form gives you a professional, on-brand way to connect with patients, provide the information they need, and move them confidently toward their first treatment.
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