---
title: Virtual Urgent Care Triage Form Template for Telehealth | Paperform
description: Professional telehealth triage form for virtual urgent care visits. Includes symptom assessment, vital signs collection, photo uploads, and emergency protocols. SOC 2 compliant.
url: "https://paperform.co/templates/virtual-urgent-care-triage-form"
type: static
generatedAt: "2026-03-28T00:45:31.984Z"
---

[← Back to free form templates](/templates/)    ![Virtual Urgent Care Triage Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/virtual-urgent-care-triage-form.png)
    [Preview](https://_preview.paperform.co/ai-template/virtual-urgent-care-triage-form) [Use this template for free](/create?ai-template=virtual-urgent-care-triage-form)    [Intake Forms](/templates/category/intake-forms/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Telehealth](/templates/industry/telehealth/) [Physician](/templates/role/physician/)[Nurse](/templates/role/nurse/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Medical Assistant](/templates/role/medical-assistant/)     About this free form template
### Streamline Your Virtual Urgent Care with Smart Triage Forms

When patients need urgent care but can't make it to a physical clinic, your virtual triage process needs to be efficient, thorough, and reliable. This **Virtual Urgent Care Triage Form** template is designed specifically for healthcare providers offering telehealth services, helping you quickly assess patient needs, prioritize cases, and ensure appropriate care delivery.

#### Why Healthcare Providers Choose Paperform for Telehealth Triage

This template captures everything your clinical team needs to make informed decisions before a virtual consultation: comprehensive symptom descriptions, severity assessments, vital signs data, visual documentation through photo uploads, and critical emergency protocol acknowledgments. By gathering structured information upfront, you can route patients to the right level of care—whether that's an immediate video consultation, a scheduled appointment, or directing them to emergency services.

The form's conditional logic adapts the questions based on symptom severity and type, ensuring you collect relevant clinical information without overwhelming patients. Photo upload capabilities let patients document visible symptoms like rashes, wounds, or swelling, giving providers valuable visual context before the consultation begins.

#### Perfect for Healthcare Practices of All Sizes

Whether you're a solo practitioner expanding into telehealth, an urgent care clinic adding virtual visits, or a multi-location practice standardizing your triage protocols, this form template provides a professional foundation. Medical practices, virtual care providers, primary care offices, and specialty clinics use Paperform to create HIPAA-ready intake processes that work seamlessly with existing workflows.

#### Automate Your Telehealth Workflows with Stepper

Once a patient submits their triage form, [Stepper](https://stepper.io) can automatically trigger your entire care coordination workflow. Route high-severity cases to on-call providers immediately via SMS, create appointment slots in your scheduling system, update your EMR with triage data, send pre-consultation instructions to patients, and notify clinical staff—all without manual handoffs. This means your team spends less time on administrative coordination and more time delivering quality care.

#### Trusted by Healthcare Providers Who Value Efficiency

Paperform is SOC 2 Type II compliant and designed for healthcare teams who need secure, professional forms that integrate with the tools they already use. With 500,000+ teams worldwide trusting Paperform for their critical workflows, you're in good company when you choose a platform that understands the importance of patient data security and operational efficiency.

Get your virtual urgent care practice running smoothly with a triage form that works as hard as your clinical team does.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
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