COVID-19 Screening Form Templates
From employee health screening checklists to health declaration forms, Jotform offers readymade form templates to help you detect and prevent coronavirus. Just use our drag-and-drop Form Builder to customize your health check-in form template in minutes.
DATA COLLECTION
Safe and Secure Data Collection
Jotform’s COVID-19 screening app for employers and healthcare providers keeps protected health information (PHI) safe with HIPAA compliance and a signed Business Associate Agreement (BAA) for Gold users. Form data is also protected with GDPR compliance, CCPA compliance, and other advanced security measures.
DRAG-AND-DROP
Easy Customization & Sharing
Create the perfect screening form for your organization without doing any coding. Jotform’s drag-and-drop Form Builder makes it simple to customize a template or build your form from scratch. Add form fields and widgets, integrate with your favorite apps, upload your logo, and more! Then embed the form in your website, assign it to teammates, send email invitations, or share the form link to get responses.
QR CODE
Touchless Kiosk Mode
Speed up the way people fill out your health check-in form by setting up kiosk mode on your organization’s tablet or computer. Your form will refresh after each submission, so multiple people can fill it out. And with touchless kiosk mode, you can share your form via a QR code so respondents can fill it out from the safety of their own mobile devices!
130+ LANGUAGES
Multi-Language Support
Set up translations in 130+ languages to let users fill out your screening form in their preferred language. By making your patient or employee health check-in form multilingual, you can create an easier form-filling experience for each and every user.
JOTFORM SIGN
E-Signatures and File Uploads
Create e-sign documents and collect electronic signatures with Jotform Sign. Form users can easily sign your consent forms and upload files such as documents, photos, or videos from any device.
FORM CALCULATION
Conditional Logic
Make your smart forms smarter with conditional logic, which hides or reveals form fields based on how users answer the questions. Conditional logic creates a personalized form-filling experience, increasing your response rate and ensuring you get the data you need.
100+ Form Integrations
Sync completed patient and employee health screening forms to 100+ popular platforms, eliminating manual data entry and speeding up your workflow. Popular integrations include Google Drive, Dropbox, Box, and many more.
Jotform Health App
Manage your medical practice from your pocket with the Jotform Health App. Our HIPAA-friendly mobile app for healthcare workers makes it easy to manage medical forms from any device. Collect patient data, accept bill payments, get signed consent forms, and schedule appointments online to improve the way you communicate with your patients.
