Remote Celiac Disease Follow-Up Form

Managing celiac disease requires ongoing monitoring and support, and telehealth has made it easier than ever for patients to stay connected with their healthcare team. This remote celiac disease follow-up form is designed specifically for healthcare providers offering virtual care to celiac patients.

This template streamlines the entire follow-up process by capturing critical information about gluten-free diet adherence, symptom tracking, nutritional deficiency screening, and bone density monitoring—all in one professional, patient-friendly form. Healthcare teams can assess compliance, identify potential complications early, and provide personalized guidance without requiring an in-person visit.

Perfect for gastroenterologists, dietitians, primary care physicians, and telehealth platforms, this form helps maintain continuity of care while reducing administrative burden. Patients can complete it from home before their virtual appointment, giving providers time to review responses and prepare targeted recommendations.

The form includes sections for gastrointestinal symptom assessment, quality of life evaluation, dietary adherence tracking, supplement intake, and screening questions for common celiac-related complications like anemia, osteoporosis, and vitamin deficiencies. It also integrates appointment scheduling so patients can book their dietitian consultation directly within the form.

With Paperform's conditional logic, the form adapts based on patient responses—if someone reports poor diet adherence or concerning symptoms, additional screening questions appear automatically. You can also use Papersign to collect eSignatures on treatment plan updates or dietary counseling agreements, and Stepper to automate follow-up workflows like sending lab requisitions, triggering referrals, or updating patient records in your practice management system.

Whether you're running a dedicated celiac clinic or integrating virtual follow-ups into your gastroenterology practice, this template provides the structure and professionalism needed to deliver excellent remote care while staying organized and compliant.