Trust, privacy, and security are the pillars that support every company in the healthcare industry, and they’re intricately woven into the healthcare workflow. When you’re in charge of someone else’s healthcare needs, it’s important to establish your company as a sanitary, trustworthy, and professional business. A patient’s emotional and physical well-being is of the utmost importance, so hospitals and medical practitioners go to great lengths to make sure that their patients trust them.
That’s why we offer HIPAA compliance features — to ensure patients’ privacy as it relates to their medical records. Jotform is one of the few companies in the online form building industry that helps HIPAA compliance. With our PDF Editor, anyone in the healthcare industry can create fillable PDF forms or generate PDF documents as an attachment to their autoresponders. Instead of designing a PDF from scratch, we offer a wide variety of templates you can choose from as inspiration for your next design project.
These PDF templates can be used for many different use cases. For example, let’s say you need to hand out brochures about the health services you offer. Instead of giving out paper-based flyers and pamphlets, why not use something like an electronic brochure in PDF format? You can distribute these to your potential patients right after they fill out their information through an online registration form. Or you can design a simple yet professional fillable PDF form that can be downloaded and printed as a paper-based form in case you need one for your hospital’s outpatient department.
Patient Medical Record Template
Medical History Record PDF template lets you collect the patient's data such as personal information, contact information in an emergency case, general medical history. By using this sample, the doctor ensures the patient's better care and treatment.
Doctors Note Template
Create a doctor’s note for your medical practice. Sign and send to your patients. Works on mobile, tablet, and desktop devices. Drag and drop to design.
Simple Medical History Template
Once you have collected these medical data, you can record them as a pdf by using this medical history PDF template. In addition, you don't need to be worried about the safety of data.
Medical Invoice Template
Generate PDF invoices for patients with this free, easy-to-customize Medical Invoice Template. Send to patients automatically with an autoresponder.
Vaccination Record Card
Give this Vaccination Record Card to the individual who receives the vaccine and remind them to return for another dose if needed. This PDF template shows all the information needed by the individual about the vaccination process.
Prescription Template
Use this Prescription Template when prescribing medications or providing treatment regimens to the patients in order to address their health complaints. This PDF document can be opened on mobile devices by using a mobile browser and then opening the standard direct link.
Pregnancy Verification Template
Verify the pregnancies of your clinic’s patients easily. Drag and drop to customize your form. Send out copies. Works on desktop, tablet, and mobile devices.
Short Medical History
Medical History Record PDF template is mostly used in order to provide significant information about the health history, care requirements, and risk factors of the patient to doctors. It is for collecting data from the patients.
Online Therapy Consent Template
Create an online therapy consent form to gather patient consent. Sign and fill out on any device. Drag and drop to fully customize. No coding knowledge required.
Client Progress Report
Client Progress Report for Psychotherapy PDF template provides the essential information that should contain in a clinical psychotherapy report such as the name of the patient, the type of session made with the patient, the date of the session, a comprehensive assessment, and treatment goals and objective for the patient/client.
Release of Information Template
Create a release of information document in seconds. Works great on any device. Easy to share and collect e-signatures. Drag and drop to customize. No coding needed.
Professional Medical Release Template
Create a professional medical release template. Great for medical practices and therapists. Collect signatures online. Converts to PDF. Easy to customize and share.
Insurance Waiver Template
Create an insurance waiver for employees declining insurance coverage. Works great on any device. Easy to customize and share. No coding knowledge required.
Professional Medical History Template
Medical History Record PDF template is here to help you in order to know the patient's case and previous condition. You can collect data about the patient and medical background with this Medical History Record PDF sample.
COVID-19 Vaccine Administration Record
Keep track of patient vaccination records online. More secure with GDPR, CCPA, and optional HIPAA compliance features. Download or print as PDFs. Free, easy-to-customize template.
Medical Records Release Authorization
Build a medical records release authorization form in seconds. Works on any device. Android and iOS compatible. Converts to a PDF. No coding knowledge required.
Dental Health Record Template
The Dental Health Record Template is easy for patients to fill out and designed to get the doctor the most important information. Patients can fill out their information on a computer or tablet using our Dental Health Record Template.
Patient Progress Report Template
A progress report is a written document that is vital in health care settings because this is where the health care practitioner will base their next plan of treatment. A good health progress report follows the ADPIE (Assessment, Diagnosis, Planning, Intervention, Evaluation) format. Using this Patient Progress Report Template, you will be able to determine if the treatment being applied is effective or not. This Sample Patient Progress Report Template has the patient's personal information, physiological and psychological health progress. The progress report specifies the patient's mood, communication, appearance, emotional status, mental stability, interventions, and respond to treatment, and the report summary.
Summer Camp Parental Consent
Create a summer camp consent form for parents of your campers. Intuitive form building. No coding required. Drag and drop to design. iOS and Android compatible.
Personal Medical History Template
Medical History Record PDF template allows you to collect patients' data such as personal information, family history, and habits like, and symptoms. You can pick your patients with this medical history record sample.
Dietary Requirements Template
Collect important information about food restrictions and allergies. Save submissions as PDFs. Easy to customize, download, print, and share with kitchen staff.
First Aid Incident Report Template
Incidents must be reported and recorded to be sure that correct actions and treatment are made which should trigger management awareness and an investigation. The First-Aid Incident Report template contains injured person's personal details and contact details, the details and visible symptoms of injury, the Glasgow Coma Scale which is a neurological scale that expects to give a dependable and target method for chronicle the condition of an individual's awareness and brief information of treatment. Also, it contains the profile of the first-aider and signature of the person who prepares the report.
Child Medical History Template
This child medical history PDF template makes checking patients vitals and recording that important data easy. Add your own branding, adjust fields for your specific needs and then simply print out your PDF for the patient's file.
Superbill Template
Generate healthcare superbills fast with a free template from Jotform. Great for all medical providers and specialists. Easy to customize and sync. No coding.
These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.