Telehealth Forms

7 Templates

Sample Request Form

A sample request form is a quick and easy way to ask for examples of a product or service from a business.

Go to Category:E-commerce Forms

Virtual Care Appointment Form

Easy appointment scheduling for e-visits. Great for telemedicine! HIPAA compliance option. Embed anywhere. Integrate with 100+ apps. No coding required.

Go to Category:Healthcare Forms

Telemedicine Appointment Form

Let patients request virtual appointments online. Add a calendar field without coding. HIPAA compliance features. Perfect for telemedicine providers.

Go to Category:Healthcare Forms

Telemedicine E Visit Request Form

Accept requests for e-visits through this free online appointment form. Easy to customize. embed, and share. Integrate with 100+ apps. HIPAA compliance features.

Go to Category:Telehealth Forms

New Patient Appointment Form

Schedule appointments online for new patients. Easy to customize and embed. Sync to Google Calendar, Zoom, and 100+ apps. HIPAA friendly features option. No coding.

Go to Category:Healthcare Forms

Virtual Clinic Appointment

Easy appointment scheduling for your virtual clinic. Free online booking form. Easy to customize, embed, and integrate. HIPAA compliance option. No coding.

Go to Category:Healthcare Forms

These templates are suggested forms only. Before using this or any form as a contract or other legal document, please consult with an attorney to make sure it meets the legal needs or your situation. Do not use this form to send a legal request to Jotform.