Medical Alert Form Template

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Collect medical alert info with a simple form

If you’re responsible for first aid in your social club, school or office, you need to know how to provide care in an emergency situation. How do you collect this in an organized, simple way? Enter the online form.

Medical alert form FAQs:

1. What should I consider before using this healthcare form?

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

  1. 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. Do this by filling out this typeform, or contacting your Typeform account manager.

  1. 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.

2. What’s a medical alert form for?

A medical alert form allows you to collect important information about your students, employees, or group members. You use it to collect their medical details for emergencies or if they need medical attention. Ask them about allergies, illnesses, and conditions, so that you can provide the care they need or inform medical staff if they are unable to. It’s also a useful way to collect their emergency contact details, so you know who to call to be at their side.

3. When should you use a medical alert form?

It’s best to capture this information as soon as possible when someone joins your company or team. Make sure to include it in your onboarding processes, or in your new starter pack. It’s important to routinely update the forms too. If a current employee needs to update their information or emergency contact, you can create a complementary medical form and update your database. Using various integrations such as Zapier and Google Sheets makes exporting and logging the data a breeze.

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Head of Product Marketing

Pitch

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Marketing Manager @ Volvo Cars

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Gaurav Vohra

Head of Growth

Superhuman

Typeform helps me attract more responses and a higher response rate than other tools.

Rand Fishkin

CEO + Founder

SparkToro

Form builders are as old as the web, but Typeform elevates the medium substantially.

Johnny Rodgers

Product Architect

Slack

We’ve received 3x the responses using Typeform than from a professionally commissioned market research study

Kate Donhoe

Head of Product Marketing

Pitch

Leads from the Typeform integration were twice as likely to convert.

Tobias Wasmer

Marketing Manager @ Volvo Cars

Volvo

You used to need developers to do all this. Not anymore.

Kyle Maltz

Chief Operating Officer

Dollar Flight Club

Typeform is a production-grade system for our entire growth funnel.

Gaurav Vohra

Head of Growth

Superhuman

Typeform helps me attract more responses and a higher response rate than other tools.

Rand Fishkin

CEO + Founder

SparkToro

Form builders are as old as the web, but Typeform elevates the medium substantially.

Johnny Rodgers

Product Architect

Slack

We’ve received 3x the responses using Typeform than from a professionally commissioned market research study

Kate Donhoe

Head of Product Marketing

Pitch

Leads from the Typeform integration were twice as likely to convert.

Tobias Wasmer

Marketing Manager @ Volvo Cars

Volvo

You used to need developers to do all this. Not anymore.

Kyle Maltz

Chief Operating Officer

Dollar Flight Club

Typeform is a production-grade system for our entire growth funnel.

Gaurav Vohra

Head of Growth

Superhuman

Typeform helps me attract more responses and a higher response rate than other tools.

Rand Fishkin

CEO + Founder

SparkToro
Collect 18% more data with Typeform compared with our two main competitors in the market
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How does it work?

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