Patient registration form template
An efficient patient registration form template enhances the onboarding process, allowing you to provide efficient and personalised care. Simplify patient onboarding with our fully customisable patient registration form template. Whether you're a medical practice, clinic or healthcare facility, this form eases collecting vital patient information while protecting patient privacy and complying with HIPAA regulations.
Capture patients' personal details, medical history, emergency contact information and more. In addition, you can customise the form to your practice's unique needs using the intuitive drag-and-drop builder. Add your practice’s branding to create a welcoming and professional experience, ensuring patients feel at ease from the start.
Explore which features support this survey template
We have so many powerful features to help you launch surveys quickly, but here are our most popular ones for new users.
Customisable survey experiences
Out-of-the-box themes, accessible colour palettes, custom fonts, branding and more.
Many ways to send your surveys
Collect survey responses via email, website, SMS, social media, QR codes, offline and more.
Survey analysis; no training required
Automatic results summaries, filters, custom dashboards, crosstab reports, text analysis and more.
Additional resources to help you launch successful survey projects
Success Stories
Read about our customers, explore webinars and get guides on collecting feedback in your industry.
Blog
Get tips on how to create better surveys, hear the latest product news or check out our research.
Help Centre
Access tutorials on how features work, learn more about billing and contact Customer Support.
Discover more resources
Healthcare Leader
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Client intake form template
Efficiently onboard clients with our customisable client intake form template. Get started today!