Patient Confidentiality Agreement
Give your patients peace of mind that their sensitive medical data is safe with this Patient Confidentiality Agreement. Simply customize this template however you see fit, then share your form via email. Patients can then fill out this agreement form from any smartphone, tablet, or desktop computer. You’ll receive an email notification and a signed and finalized version of the document in your online dashboard.
Make changes to this Patient Confidentiality Agreement with our drag-and-drop builder. Change the agreement terms, add new text boxes or signature fields, upload your clinic’s logo, choose fonts and colors, and much more without any coding knowledge. Once a patient fills out and signs your document, you can instantly print and download it as a PDF document for your records. Say goodbye to messy paperwork and keep everything safe and secure with Jotform Sign.
Doctors Note Template
Create a doctor’s note for your medical practice. Sign and send to your patients. Works on mobile, tablet, and desktop devices. Drag and drop to design.
Hospital Discharge Template
The essence is that you can easily check the information saved in the PDF document to ensure a patient can be discharged. The hospital discharge letter template here can be modified to suit your taste.
Rent Ledger Template
Create a rent ledger agreement in seconds. Fill out and e-sign from any smartphone, tablet, or desktop. Easy to customize and share. Converts to a PDF.
NonProfit Donation Consent Template
Create a nonprofit donation consent form in seconds. Drag-and-drop to design and customize. Collect signatures from any smartphone, tablet, or desktop.
Online Therapy Consent Template
Create an online therapy consent form to gather patient consent. Sign and fill out on any device. Drag and drop to fully customize. No coding knowledge required.
Interview Consent Agreement
Gather interview consent forms online. Can be filled out and signed on any device. Converts to a PDF instantly. Easy drag-and-drop customization.
These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.