Long COVID Clinic Appointment Booking Form

Long COVID, or post-acute sequelae of SARS-CoV-2 infection (PASC), affects millions of people worldwide with persistent symptoms that can last months or years after initial infection. Managing Long COVID requires specialized multidisciplinary care, careful symptom tracking, and coordinated treatment plans. This Long COVID Clinic Appointment Booking Form from Paperform streamlines the intake and scheduling process for specialized clinics, helping healthcare providers gather critical patient information before the first visit.

Built for Long COVID clinics, post-COVID recovery programs, and healthcare facilities offering specialized PASC care, this template collects comprehensive symptom timelines, infection history, current health concerns, and care coordination needs—all in one professional, patient-friendly form. The form captures everything from initial COVID infection dates and test results to ongoing symptoms across multiple body systems, previous specialist consultations, and specific referral needs.

What makes this template powerful is its flexibility. Healthcare administrators can customize symptom checklists, add conditional logic to show relevant follow-up questions based on symptom categories, and integrate appointment scheduling directly into the booking flow. The form works seamlessly with your existing practice management software through Paperform's extensive integrations, automatically adding appointments to your calendar and creating patient records in your system.

For clinics managing complex multidisciplinary care, you can extend this template with Stepper workflows to automatically route new patient information to relevant specialists, send pre-appointment instructions, coordinate between departments, and trigger follow-up care sequences based on symptom severity. Healthcare teams save hours of manual data entry while ensuring no critical patient information falls through the cracks.

This template is ideal for Long COVID clinics, infectious disease departments, rehabilitation centers, pulmonology practices, cardiology clinics, neurology specialists, and any healthcare facility providing coordinated post-COVID care. With Paperform's GDPR compliance and secure data handling, patient information remains protected throughout the intake and scheduling process.