Declaration Forms
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Covid-19 Vaccine Exemption Declaration Form
A Covid-19 vaccine exemption declaration form is a document used by medical practitioners to record a patient’s vaccine exemption status. An online Covid-19 Vaccine Exemption Declaration Form can be used to collect this information from medical clinics, doctors’ offices, and hospitals. Use a free template to collect patient information securely, then share a link or embed a form on your website to begin collecting information right away!
Before sending out your Covid-19 Vaccine Exemption Declaration Form, you can preview how it looks on any device to make sure it’s perfect. If you’d like to keep patient health and private information safe, Jotform offers HIPAA compliance, keeping this form and your medical practice protected from damages. And with our 100+ integrations including Google Sheets, Google Drive and Dropbox, you can send collected responses to your favorite storage service of choice. View responses and get the information you need from patients with a free online Covid-19 Vaccine Exemption Declaration Form.