SCREENING APP

COVID-19 Screening App

Whether you work for a large healthcare organization or a small business, the Jotform Health app can speed up your coronavirus screenings! Securely collect employee or patient symptom lists, e-signatures, file uploads, and more!

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.

Screening Form
Counselling Screening Declaration Form
ADC Screening Form
Screening Form
Counselling Screening Declaration Form
ADC Screening Form

データ収集

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.

Safe and Secure Data Collection

ドラッグ&ドロップ

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.

Easy Customization & Sharing

Jotformヘルスアプリ

HIPAA-Friendly Mobile App for Healthcare Services

あらゆるモバイルデバイスから患者データと支払いを収集し、予約を管理し、臨床ワークフローを合理化します。

HIPAA-Friendly Mobile Forms HIPAA-Friendly Mobile Forms

QRコード

タッチレスキオスクモード

組織のタブレットやコンピューターにキオスクモードを設定することで、健康チェックインフォームへの記入をスピードアップできます。フォームを送信するたびにフォームが更新されるため、複数の人が記入できます。また、タッチレスキオスクモードを使用すると、QRコード経由でフォームを共有できるため、回答者は自分のモバイルデバイスから安全にフォームに記入することができます!

Touchless Kiosk Mode

130以上の言語に対応

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.

Multi-Language Support

Jotformサイン

E-Signatures and File Uploads

Jotformサインで電子署名ドキュメントを作成し、電子署名を集めましょう。フォームユーザーは、どのデバイスからでも簡単に 同意書フォームに署名し、ドキュメント、写真、動画などのファイルをアップロードする事ができます。

E-Signatures and File Uploads

フォーム計算機能

条件付きロジック

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.

Conditional Logic

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.

Covid Health Screening