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Patient Encounter Form Template
Keep patient files updated with just a few clicks
Save time on managing a patient's file after each visit. Let your doctors answer a few quick questions, and the results will be sent to the right file automatically thanks to our smart integrations.
Patient encounter form FAQs:
Have doctors fill out this patient encounter form after each appointment to make sure they don’t forget a thing. That way, you’ll be sure the information is complete and correct.
No need to copy-paste all their answers into the correct patient file at the end of the day: our smart integrations take care of that on the fly.
On the contrary. You can easily tweak this template so it works for the processes in your medical office. It asks one question at a time, so doctors and medical staff won't risk forgetting to mention some vital information.
You can even upload additional files, like scans or test results, without using an extra tool. Plus, it is incredibly easy to use—even if you’re a little rusty on computers.
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. Do this 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.
Almost. File upload is on our paid plans. So if you want to keep it, you need to upgrade. If you don’t need file uploads, just delete that question. Without upgrading you can still play around with your form template, but to publish it with a File upload question you need to upgrade.
Make it uniquely yours
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Create beautiful forms with zero coding required.
Here's what people say about us
Form builders are as old as the web, but Typeform elevates the medium substantially.
Johnny Rodgers
Product Architect
We’ve received 3x the responses using Typeform than from a professionally commissioned market research study
Kate Donhoe
Head of Product Marketing
Leads from the Typeform integration were twice as likely to convert.
Tobias Wasmer
Marketing Manager @ Volvo Cars
You used to need developers to do all this. Not anymore.
Kyle Maltz
Chief Operating Officer
Typeform is a production-grade system for our entire growth funnel.
Gaurav Vohra
Head of Growth
Typeform helps me attract more responses and a higher response rate than other tools.
Rand Fishkin
CEO + Founder
Form builders are as old as the web, but Typeform elevates the medium substantially.
Johnny Rodgers
Product Architect
We’ve received 3x the responses using Typeform than from a professionally commissioned market research study
Kate Donhoe
Head of Product Marketing
Leads from the Typeform integration were twice as likely to convert.
Tobias Wasmer
Marketing Manager @ Volvo Cars
You used to need developers to do all this. Not anymore.
Kyle Maltz
Chief Operating Officer
Typeform is a production-grade system for our entire growth funnel.
Gaurav Vohra
Head of Growth
Typeform helps me attract more responses and a higher response rate than other tools.
Rand Fishkin
CEO + Founder
Form builders are as old as the web, but Typeform elevates the medium substantially.
Johnny Rodgers
Product Architect
We’ve received 3x the responses using Typeform than from a professionally commissioned market research study
Kate Donhoe
Head of Product Marketing
Leads from the Typeform integration were twice as likely to convert.
Tobias Wasmer
Marketing Manager @ Volvo Cars
You used to need developers to do all this. Not anymore.
Kyle Maltz
Chief Operating Officer
Typeform is a production-grade system for our entire growth funnel.
Gaurav Vohra
Head of Growth
Typeform helps me attract more responses and a higher response rate than other tools.
Rand Fishkin
CEO + Founder
How does it work?
Make a stylish form in minutes with our intuitive builder.
Choose from different question types: Multiple Choice, Rating, Opinion Scales, and more.
Take respondents down different paths based on their answers.
Patient encounter form not right?
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