Patient Information Form Template

You might use this form template to collect patient information in your hospital. To make this form yours and start editing it, click the button Use this template below the description.

Collecting patient information through an online form has quite a few advantages over traditional paper forms. Filling out online forms takes less time, the information never gets lost, and the records can be easier analyzed, merged, or synchronized.

Your patients' information is safe with Paperform. Form submissions are secured using TLS 1.2 SSL from the browser through to the database. You might also disable storage submissions on Paperform, and instead, use webhooks or Zapier to push the information directly to your own database.

Should you have any questions, don't hesitate to contact our support team through the chat bubble in the bottom right corner.