Declaration Forms
119 Templates
Coronavirus-19 Health Declaration Form
A corona virus-19 health declaration form is used by medical organizations to collect information from patients with possible exposure to the coronavirus-19 virus. With a free online coronavirus-19 health declaration form, you can collect patient contact information for your medical practice! Simply customize the form to include the questions you need — then share it with a link, embed it on your website, or print it out in a physical copy.
If you’d like to keep patients’ information private, Jotform offers HIPAA friendly features, keeping your medical practice protected from damages. And with our 100+ integrations, you can send collected responses to your storage service of choice. View responses and get the information you need from patients with a free online coronavirus-19 health declaration form.