TemplatesPhysician Referral Form Template

If you're a doctor or managing a private clinic, you might be looking for a simple and yet secure way to refer patients to other clinicians in your hospital or partner organizations. There's nothing easier to streamline this process than building an online referral form.

Paperform's an all-in-one platform that thousands of institutions use to build bespoke landing pages, collect information, and automate routine processes. Submitting medical referrals is no exception. Paperform's built-in email automation engine allows you to quickly and securely forward all the patient information to the right person upon the form's submission. When it comes to storing data, you can either use Paperform's cloud or your own servers.

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