Employee Medical Form Template

✓ Easy-to use (no-code!)
✓ Hundreds of integrations

Employee Medical Form Firstly, what's your name? and your company email address, {{field:2305caa7-5d48-4f7a-87c5-73789b5f51e3}}? What's your home address? Who's your emergency contact? and what's their phone number? If you've got any allergies, list them here Are you on any medication? If so, please list them here Do you suffer from any of these? You're all set. Thanks a lot for updating us. Thanks for completing this typeform Now *create your own* — it's free, easy, & beautiful

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Manage data in a couple of clicks

Make gathering details quick and easy with this employee medical form. Customize it, set up integrations, hit “share” and watch your data organize automatically.

Employee medical form FAQs:

An online form streamlines the information collection process in two ways. First, it plots the data into fields, meaning there’s no manual cutting and pasting to be done. Simply export your responses and you’ve got an organized spreadsheet. Second, it does the hard work for you when it comes to collection. No back-and-forth emails or digging around for stray pieces of info—gather everything at once in one single step.

Before you send out your form, there are two things you should do:

Set up a BAA (Business Associate Agreement) with us

Typeform is a HIPAA-compliant company, so all the healthcare-related info you process with us is legally airtight. But for you to be 100% HIPAA compliant, you’ll first need to set up a BAA. To do this you would need to talk to us about our enterprise plan, which you can do by filling out this Typeform, or contacting your Typeform account manager.

Check the local data collection laws

Data collection laws aren’t a one-size-fits-all thing—especially when there’s sensitive medical info involved. So before hitting share, seek advice from a local lawyer to make sure you’ve covered everything.