Medical Release Form
A medical release form is used to request that a healthcare provider release a patient’s medical records. Whether you’re a physician, dentist, or psychiatrist, Jotform’s free Medical Release Form template is a safe and secure way to collect sensitive medical information and electronic signatures from your patients. Rather than deal with messy paperwork, simply share your release form via email directly from your online dashboard. Patients can then fill out and sign your form from any device. Once submitted, you’ll receive a notification and finalized version of the document.
Make this Medical Release Form your own with Jotform’s intuitive drag-and-drop form builder. Upload your practice’s logo, choose fonts and colors, include additional text boxes and signature fields, edit the agreement text, and more. Once your Medical Release Form has been filled out, you can instantly download it for your records as a PDF document. Create a safe and streamlined signature experience for your patients 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.