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Patient registration form template

Works great on every device.
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Patient registration form template

Collect patient info through an online form and say goodbye to piles of paperwork

Collect up to 3.5x more data with Typeform

Less paperwork, more productivity

Why waste time preparing, printing and organizing paperwork? Save time with a digital patient registration form. Collect your patients’ info in one step, and let our integrations organize your data. This means less work for staff, and shorter wait times for patients.

With Typeform, you can 
customize everything

Patient registration form template FAQs:

An online registration form helps you save time, boost productivity and keep patients happy. Send patients a link to the form when they arrive, and they can fill it out in the waiting room before their appointment. And thanks to our smart integrations, all your patients’ info can be directed to a spreadsheet where it’ll organize automatically.

No more sifting through piles of pages or manually importing data. With a typeform, you can significantly reduce paperwork and patient wait time—better for your staff, better for patients and better for the planet.

Before you send out your form, there are two things you should do:

  1. Set up a BAA (Business Associate Agreement) with us

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.

  1. Check the local data collection laws

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.

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