Coronavirus Response Forms

A COVID-19 vaccine appointment form is used by medical practices to schedule COVID-19 vaccine appointments. It’s been a long time coming, and patients are anxious to get their vaccines administered as quickly as possible — so make the scheduling process as seamless as possible with Jotform’s free online COVID-19 Vaccine Appointment Form. Just customize the form to match your practice, opt for HIPAA friendly features to keep patient data secure, embed the form in your website or share it with a link, and start collecting bookings online. Use Jotform’s drag-and-drop Form Builder to quickly add your appointment slots to the calendar widget, which automatically makes bookings unavailable once they have been booked by a previous patient — a great way to avoid double-booking! You can also upload your logo, include extra questions, and further personalize the design — or sync submissions to third-party apps like Google Calendar, Google Sheets, and Slack with our 100+ free form integrations! Improve the way you book appointments for your practice with Jotform’s online COVID-19 Vaccine Appointment Form.

Schedule appointments for suspected patients of coronavirus and other diseases. Easy to customize, integrate, and embed. No coding.

This vaccine appointment form is for the use of CPESN facilities to collect online vaccination appointments for the Moderna Vaccine by asking their patients to provide their personal and contact information, current health status and insurance information, vaccine details and consent to each term and condition through e-signature.

Manage online requests for COVID-19 swab tests administered by your healthcare facility. Easy to fill out and customize. Works on any device. No coding.

Collect confession appointment bookings from members of your congregation online. Secure and private online form. Share or embed instantly. Easy to customize.

Collect requests for personal protective equipment online. Easy to customize and embed. Integrate with 100+ apps. No coding required.

This Immunization Consent Form is for the use of CPESN Pharmacies to detect their patients' immunization and payment preference, schedule appointments, collect patient contact information and medical details with their consent to the immunization terms and conditions.

This is a Testing Request Form for suspected coronavirus patients to provide their health condition and make an appointment to be tested.

Get informed consent from patients for COVID-19 antibody screening tests. Easy to customize and fill out on any device. HIPAA friendly features option. No coding.

A CPESN Rapid Test Appointment and Authorization Form is for the use of authorized facilities in WA State to collect rapid COVID-19 test appointments online.

Collect COVID-19 vaccine orders online. Fill out on any device. Easy to customize, embed, and share. HIPAA compliance option. Convert responses to PDFs automatically.

Collect registrations, consent forms, and schedule appointments in a single online form. Great for pharmacies and hospitals. Easy to customize, share, and embed.

This COVID-19 Rapid Test Appointment and Consent Form, updated on 12.16.2020, is for the use of CPESN facilities, specific to WA State, to gather coronavirus test appointments online.

This COVID-19 Testing Authorization form is for CPESN Pharmacies to schedule testing appointments online and collect their patients consent to the coronavirus testing terms and conditions. Form simply asks patients to provide their personal and contact information, and their e-signature.

This COVID-19 Testing Consent Form is crafted for CPESN pharmacies in Washington State to get online coronavirus testing appointments by providing their personal and contact information with health details.

Have a better visit scheduling process and limit the visitors at your office and promote health safety by using this Office Visit Scheduling Form. This form is required to be filled out by visitors in order to schedule a visit.

Allow parents or teachers to sign up for a virtual learning trip by using this Virtual Field Trip Registration Form. This form can be accessed on any device including tablets and mobile phones.

Collect vaccination registrations online. Fill out on any device. Easy-to-customize online form. Embed or share in seconds. Protect with optional HIPAA compliance.

Confirm from your employees who want to participate in the vaccination and who is not by using this COVID-19 Vaccination Employee Registration Form. This form template can be embedded on any website via embed code or iframe code.

A form for patients to get an appointment and pay for rapid COVID-19 testing

A barber shop consent and appointment form is used by barbershops to schedule appointments and provide customers with a contract. Line up your clients’ next appointments with a free online Barber Shop Consent and Appointment Form!

Organize your attendance for blended learning in school or prepare your skeleton workforce at work during this period where health is at risk. Use this Reopening Attendance Confirmation form template and get the confirmation from your attendees about their physical attendance. Just copy this template and use it right away. It's free!

Arrange shopping sessions with Shopping by Appointment Form. Fully customizable with no coding required.

Use this COVID-19 Vaccination Clinic Registration Form to collect information about the patient who would like to receive the COVID-19 vaccine. This form can be added or inserted on any webpage by using the embed or iFrame code.