You can also integrate the form with your favorite apps to instantly sync submissions to those accounts - try sending patient information to your cloud storage account or healthcare CRM, or automatically adding appointments to Google Calendar. It’s easy to add more form fields, terms and conditions, and a dropdown calendar that lets patients select appointment times and dates. This Telemedicine Appointment Form is formatted for mental health professionals offering counseling and therapy, but if you work in another department and offer different services, just use our drag-and-drop Form Builder to modify the template. You’ll receive submissions in your secure Jotform account, protected by HIPAA compliance with a Silver or Gold plan - or for free with our Coronavirus Responder Plan. Patients can enter their personal information, select what services they’d like, and describe their medical history and health insurance. Simply customize the form to meet your needs and embed it on your website or share it with patients via email to start accepting requests for appointments. If you’re offering telemedicine services, our free Telemedicine Appointment Form will make it easier for patients to request appointments online while helping you stay organized. A telemedicine appointment form is used to schedule virtual appointments with doctors and medical consultants online.
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