Health evaluation form template
Gather key health information with a simple form, and let our integrations arrange your data
Screening form template
Better safe than sick. Screen visitors for diseases like COVID-19 before their visit.
Collect up to 3.5x more data with Typeform
Simplify health screenings
Got visitors coming to your office or organization? You want to make sure they're healthy and haven't been to any high-risk areas. This screening form will take them only a minute to fill in, so you'll get notified straight away if any risks crop up.
With Typeform, you can customize everything
Change text, colors, and even logos to match the look and feel of your brand. Then embed forms smoothly onto web and email.
Make forms feel effortless to fill out. Pace questions, call people by their name, and adapt the flow based on the data they share.
Stay efficient by connecting forms to your workflow. Typeform integrates with 300+ tools including Slack, Zapier, and HubSpot.
Screening form template FAQs:
Before you send out your form, there are two things you should do:
- 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.
- 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.
By now, most of us have experienced the hassle of navigating a tricky screening form and ticking the right boxes. Take away all the confusion with one straightforward form. With branching question paths and Multiple Choice options, you can use one form for all your visitors.
Get inspired by relevant templates and categories
3200+ Templates, 300+ Integrations
