Pregnancy Verification Template

About this template

Need a quick and professional way to verify patient pregnancies? Jotform’s got you covered. Create a Pregnancy Verification Template with Jotform Sign and add in personal patient details. Add clinic specific details, send out to patients, and gather signatures in just minutes. Send straight to your patients via link or embed in your online patient portal for quick reference.

You can even customize your Pregnancy Verification Template to work for your clinic or hospital’s needs. Add additional form fields, change fonts and colors, create automated processes, and more. Once your patients acknowledge and sign this form, each party will receive a final copy for their records. Skip the messy paperwork and switch to Jotform Sign to verify patients pregnancies.

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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.