Health evaluation form template
Gather key health information with a simple form, and let our integrations arrange your data
Collect medical information and emergency contacts with an online form that’s easy to fill out.
If you’re responsible for first aid in your social club, school or office, you need to know how to provide care in an emergency situation. How do you collect this in an organized, simple way? Enter the online form.
Before you send out your form, there are two things you should do:
Typeform is a HIPAA-compliant company, so all the healthcare-related info you process with us is legally airtight. But for you to be 100% HIPAA compliant, you’ll first need to set up a BAA. To do this you would need to talk to us about our enterprise plan, which you can do by filling out this Typeform, or contacting your Typeform account manager.
Data collection laws aren’t a one-size-fits-all thing—especially when there’s sensitive medical info involved. So before hitting share, seek advice from a local lawyer to make sure you’ve covered everything.
A medical alert form allows you to collect important information about your students, employees, or group members. You use it to collect their medical details for emergencies or if they need medical attention. Ask them about allergies, illnesses, and conditions, so that you can provide the care they need or inform medical staff if they are unable to. It’s also a useful way to collect their emergency contact details, so you know who to call to be at their side.
It’s best to capture this information as soon as possible when someone joins your company or team. Make sure to include it in your onboarding processes, or in your new starter pack. It’s important to routinely update the forms too. If a current employee needs to update their information or emergency contact, you can create a complementary medical form and update your database. Using various integrations such as Zapier and Google Sheets makes exporting and logging the data a breeze.
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