Free Patient Access Software

Boost patient engagement with Jotform: a powerful platform designed to give healthcare providers and their patients simple, secure, and convenient access to medical records. Collect patient data, schedule appointments, and manage patient files using forms that enable HIPAA compliance.

テンプレート

Free Patient Form Templates

Get a head start with ready-made templates. Choose one to customize with our drag-and-drop builder.

Patient Portal Consent Form

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問診票

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Patient Discharge Form

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メリット

Instantly Create Patient Access Forms

Create powerful forms

Make your first form in a few easy clicks. Start with a free template or build from scratch with our drag-and-drop builder. No coding required!

Add your branding

Make your online forms match your healthcare provider’s branding. Upload your logo, change fonts and colors, or update the form background.

Speed up the billing process

Integrate with 30+ popular payment gateways — like PayPal or Stripe — to collect fee payments seamlessly on any device.

Protect sensitive health data

Clinical patient access solutions need to keep sensitive patient data protected — which is why Jotform includes PCI compliance and optional HIPAA compliance features.

Send appointment reminders

Set up autoresponder emails to remind patients of their upcoming appointments automatically.

お客様の声

Jotformに関するユーザーの声

これは最高のツールです!!! オンライン登録のためのソリューションを探していたとき、私たちが見たオプションは、簡単にカスタマイズもできないのに、数千ドルを費やしていました。Jotformなら、自分で変更することができ、時間もかかりません！Jotformなら自分で簡単に変更することができて、開発やコーディングの経験も必要ありません！Jotformが大好きで、これからもずっと使い続けると思います！

Alissa Kline, カウンシル・アシスタント, KLMCarpenters

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