Jotform Health - Medicare Form

Jotform Health - Medicare Form

Record & Track Patient History

开发者: Jotform Inc

中国
APP ID 复制
1512801224
分类
价格
免费
内购
0个评分
医疗(免费)
昨日下载量
最近更新
2025-05-22
最早发布
2021-01-14
版本统计
  • 98天12小时

    最新版本上线距今

  • 4

    近1年版本更新次数

  • 2020-10-05

    全球最早版本上线日期

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  • 版本: 2.11.18

    版本更新日期

    2025-05-22

    Jotform Health - Medicare Form

    Jotform Health - Medicare Form

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements.

    视频/截图

    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图

    应用描述

    Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom HIPAA-compliant medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

    ** Create Forms Without Coding
    Building a HIPAA-compliant form with Jotform just takes a couple of minutes, and zero technical skill. You can make your own form or use our professional healthcare form templates.

    ** Stay HIPAA Compliant
    Our HIPAA-compliant forms encrypt submission data automatically, guaranteeing the privacy of your patients' health information. You'll also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

    ** Schedule Appointments
    Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

    ** Obtain Informed Consent
    Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with their legally binding electronic signature. You can even convert each submission into a downloadable, printable PDF!

    ** Accept Medical Bill Payments
    Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.Net. You won’t have to pay any additional transaction fees.

    ** Collect Patient Signatures and Files
    Patients can easily sign your forms with legally-binding electronic signatures and attach important medical documents, images, and other files.

    ** Integrate with 100+ Apps
    Connect your forms and surveys to HIPAA-compliant software like G Suite and Dropbox to sync submissions automatically and make patient data more organized and accessible for your team.

    ** Enable Mobile Responses
    All forms are mobile-responsive and can be filled out on any smartphone, tablet or computer with ease. Patients can check in to their appointment, register as a new patient, or update their medical history directly on your office’s device.

    ** Streamline Your Workflow
    Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients — or seamlessly integrate with other HIPAA-compliant software such as Dropbox, G Suite, and more.

    *** KEY FEATURES ***

    ** Automate Your Workflow
    - Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
    - Add conditional logic, calculations, and widgets
    - Set up autoresponders to send confirmation emails and reminders
    - Get notified of submissions instantly with push notifications
    - Collect multiple submissions at once with kiosk mode
    - Provide a touchless form-filling experience for your patients with QR codes

    ** Collaborate with your team
    - Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
    - Assign forms to patients or colleagues and view their responses

    ** Advanced Form Fields
    - Appointment calendar
    - GPS location capture
    - QR code and barcode scanner
    - Voice recorder
    - Signature capture (24/7 mobile sign)
    - File upload
    - Take photo

    ** Keep Patient Data Safe
    - 256-bit SSL encryption
    - PCI DSS Level 1
    - GDPR compliance
    - HIPAA compliance

    Privacy Policy: https://www.jotform.com/privacy
    Terms of Service: https://www.jotform.com/terms
  • 版本: 2.10.17

    版本更新日期

    2024-11-22

    Jotform Health - Medicare Form

    Jotform Health - Medicare Form

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements.

    视频/截图

    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图

    应用描述

    Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom HIPAA-compliant medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

    ** Create Forms Without Coding
    Building a HIPAA-compliant form with Jotform just takes a couple of minutes, and zero technical skill. You can make your own form or use our professional healthcare form templates.

    ** Stay HIPAA Compliant
    Our HIPAA-compliant forms encrypt submission data automatically, guaranteeing the privacy of your patients' health information. You'll also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

    ** Schedule Appointments
    Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

    ** Obtain Informed Consent
    Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with their legally binding electronic signature. You can even convert each submission into a downloadable, printable PDF!

    ** Accept Medical Bill Payments
    Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.Net. You won’t have to pay any additional transaction fees.

    ** Collect Patient Signatures and Files
    Patients can easily sign your forms with legally-binding electronic signatures and attach important medical documents, images, and other files.

    ** Integrate with 100+ Apps
    Connect your forms and surveys to HIPAA-compliant software like G Suite and Dropbox to sync submissions automatically and make patient data more organized and accessible for your team.

    ** Enable Mobile Responses
    All forms are mobile-responsive and can be filled out on any smartphone, tablet or computer with ease. Patients can check in to their appointment, register as a new patient, or update their medical history directly on your office’s device.

    ** Streamline Your Workflow
    Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients — or seamlessly integrate with other HIPAA-compliant software such as Dropbox, G Suite, and more.

    *** KEY FEATURES ***

    ** Automate Your Workflow
    - Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
    - Add conditional logic, calculations, and widgets
    - Set up autoresponders to send confirmation emails and reminders
    - Get notified of submissions instantly with push notifications
    - Collect multiple submissions at once with kiosk mode
    - Provide a touchless form-filling experience for your patients with QR codes

    ** Collaborate with your team
    - Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
    - Assign forms to patients or colleagues and view their responses

    ** Advanced Form Fields
    - Appointment calendar
    - GPS location capture
    - QR code and barcode scanner
    - Voice recorder
    - Signature capture (24/7 mobile sign)
    - File upload
    - Take photo

    ** Keep Patient Data Safe
    - 256-bit SSL encryption
    - PCI DSS Level 1
    - GDPR compliance
    - HIPAA compliance

    Privacy Policy: https://www.jotform.com/privacy
    Terms of Service: https://www.jotform.com/terms
  • 版本: 2.10.16

    版本更新日期

    2024-11-21

    Jotform Health - Medicare Form

    Jotform Health - Medicare Form

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements.

    视频/截图

    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图

    应用描述

    Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom HIPAA-compliant medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

    ** Create Forms Without Coding
    Building a HIPAA-compliant form with Jotform just takes a couple of minutes, and zero technical skill. You can make your own form or use our professional healthcare form templates.

    ** Stay HIPAA Compliant
    Our HIPAA-compliant forms encrypt submission data automatically, guaranteeing the privacy of your patients' health information. You'll also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

    ** Schedule Appointments
    Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

    ** Obtain Informed Consent
    Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with their legally binding electronic signature. You can even convert each submission into a downloadable, printable PDF!

    ** Accept Medical Bill Payments
    Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.Net. You won’t have to pay any additional transaction fees.

    ** Collect Patient Signatures and Files
    Patients can easily sign your forms with legally-binding electronic signatures and attach important medical documents, images, and other files.

    ** Integrate with 100+ Apps
    Connect your forms and surveys to HIPAA-compliant software like G Suite and Dropbox to sync submissions automatically and make patient data more organized and accessible for your team.

    ** Enable Mobile Responses
    All forms are mobile-responsive and can be filled out on any smartphone, tablet or computer with ease. Patients can check in to their appointment, register as a new patient, or update their medical history directly on your office’s device.

    ** Streamline Your Workflow
    Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients — or seamlessly integrate with other HIPAA-compliant software such as Dropbox, G Suite, and more.

    *** KEY FEATURES ***

    ** Automate Your Workflow
    - Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
    - Add conditional logic, calculations, and widgets
    - Set up autoresponders to send confirmation emails and reminders
    - Get notified of submissions instantly with push notifications
    - Collect multiple submissions at once with kiosk mode
    - Provide a touchless form-filling experience for your patients with QR codes

    ** Collaborate with your team
    - Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
    - Assign forms to patients or colleagues and view their responses

    ** Advanced Form Fields
    - Appointment calendar
    - GPS location capture
    - QR code and barcode scanner
    - Voice recorder
    - Signature capture (24/7 mobile sign)
    - File upload
    - Take photo

    ** Keep Patient Data Safe
    - 256-bit SSL encryption
    - PCI DSS Level 1
    - GDPR compliance
    - HIPAA compliance

    Privacy Policy: https://www.jotform.com/privacy
    Terms of Service: https://www.jotform.com/terms
  • 版本: 2.10.9

    版本更新日期

    2024-10-22

    Jotform Health - Medicare Form

    Jotform Health - Medicare Form

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements.

    视频/截图

    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图

    应用描述

    Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom HIPAA-compliant medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

    ** Create Forms Without Coding
    Building a HIPAA-compliant form with Jotform just takes a couple of minutes, and zero technical skill. You can make your own form or use our professional healthcare form templates.

    ** Stay HIPAA Compliant
    Our HIPAA-compliant forms encrypt submission data automatically, guaranteeing the privacy of your patients' health information. You'll also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

    ** Schedule Appointments
    Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

    ** Obtain Informed Consent
    Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with their legally binding electronic signature. You can even convert each submission into a downloadable, printable PDF!

    ** Accept Medical Bill Payments
    Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.Net. You won’t have to pay any additional transaction fees.

    ** Collect Patient Signatures and Files
    Patients can easily sign your forms with legally-binding electronic signatures and attach important medical documents, images, and other files.

    ** Integrate with 100+ Apps
    Connect your forms and surveys to HIPAA-compliant software like G Suite and Dropbox to sync submissions automatically and make patient data more organized and accessible for your team.

    ** Enable Mobile Responses
    All forms are mobile-responsive and can be filled out on any smartphone, tablet or computer with ease. Patients can check in to their appointment, register as a new patient, or update their medical history directly on your office’s device.

    ** Streamline Your Workflow
    Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients — or seamlessly integrate with other HIPAA-compliant software such as Dropbox, G Suite, and more.

    *** KEY FEATURES ***

    ** Automate Your Workflow
    - Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
    - Add conditional logic, calculations, and widgets
    - Set up autoresponders to send confirmation emails and reminders
    - Get notified of submissions instantly with push notifications
    - Collect multiple submissions at once with kiosk mode
    - Provide a touchless form-filling experience for your patients with QR codes

    ** Collaborate with your team
    - Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
    - Assign forms to patients or colleagues and view their responses

    ** Advanced Form Fields
    - Appointment calendar
    - GPS location capture
    - QR code and barcode scanner
    - Voice recorder
    - Signature capture (24/7 mobile sign)
    - File upload
    - Take photo

    ** Keep Patient Data Safe
    - 256-bit SSL encryption
    - PCI DSS Level 1
    - GDPR compliance
    - HIPAA compliance

    Privacy Policy: https://www.jotform.com/privacy
    Terms of Service: https://www.jotform.com/terms
  • 版本: 2.9.72

    版本更新日期

    2024-08-28

    Jotform Health - Medicare Form

    Jotform Health - Medicare Form

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements.

    应用描述

    暂无应用描述数据

  • 版本: 2.9.59

    版本更新日期

    2024-06-26

    Jotform Health - Medicare Form

    Jotform Health - Medicare Form

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements.

    应用描述

    暂无应用描述数据

  • 版本: 2.9.56

    版本更新日期

    2024-06-06

    Jotform Health: Medical Forms

    Jotform Health: Medical Forms

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements.

    视频/截图

    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图

    应用描述

    Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom HIPAA-compliant medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

    ** Create Forms Without Coding
    Building a HIPAA-compliant form with Jotform just takes a couple of minutes, and zero technical skill. You can make your own form or use our professional healthcare form templates.

    ** Stay HIPAA Compliant
    Our HIPAA-compliant forms encrypt submission data automatically, guaranteeing the privacy of your patients' health information. You'll also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

    ** Schedule Appointments
    Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

    ** Obtain Informed Consent
    Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with their legally binding electronic signature. You can even convert each submission into a downloadable, printable PDF!

    ** Accept Medical Bill Payments
    Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.Net. You won’t have to pay any additional transaction fees.

    ** Collect Patient Signatures and Files
    Patients can easily sign your forms with legally-binding electronic signatures and attach important medical documents, images, and other files.

    ** Integrate with 100+ Apps
    Connect your forms and surveys to HIPAA-compliant software like G Suite and Dropbox to sync submissions automatically and make patient data more organized and accessible for your team.

    ** Enable Mobile Responses
    All forms are mobile-responsive and can be filled out on any smartphone, tablet or computer with ease. Patients can check in to their appointment, register as a new patient, or update their medical history directly on your office’s device.

    ** Streamline Your Workflow
    Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients — or seamlessly integrate with other HIPAA-compliant software such as Dropbox, G Suite, and more.

    *** KEY FEATURES ***

    ** Automate Your Workflow
    - Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
    - Add conditional logic, calculations, and widgets
    - Set up autoresponders to send confirmation emails and reminders
    - Get notified of submissions instantly with push notifications
    - Collect multiple submissions at once with kiosk mode
    - Provide a touchless form-filling experience for your patients with QR codes

    ** Collaborate with your team
    - Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
    - Assign forms to patients or colleagues and view their responses

    ** Advanced Form Fields
    - Appointment calendar
    - GPS location capture
    - QR code and barcode scanner
    - Voice recorder
    - Signature capture (24/7 mobile sign)
    - File upload
    - Take photo

    ** Keep Patient Data Safe
    - 256-bit SSL encryption
    - PCI DSS Level 1
    - GDPR compliance
    - HIPAA compliance

    Privacy Policy: https://www.jotform.com/privacy
    Terms of Service: https://www.jotform.com/terms
  • 版本: 2.9.42

    版本更新日期

    2024-03-28

    Jotform Health: Medical Forms

    Jotform Health: Medical Forms

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements.

    应用描述

    暂无应用描述数据

  • 版本: 2.9.26

    版本更新日期

    2024-01-07

    Jotform Health: Medical Forms

    Jotform Health: Medical Forms

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements

    视频/截图

    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图

    应用描述

    Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom HIPAA-compliant medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

    ** Create Forms Without Coding
    Building a HIPAA-compliant form with Jotform just takes a couple of minutes, and zero technical skill. You can make your own form or use our professional healthcare form templates.

    ** Stay HIPAA Compliant
    Our HIPAA-compliant forms encrypt submission data automatically, guaranteeing the privacy of your patients' health information. You'll also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

    ** Schedule Appointments
    Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

    ** Obtain Informed Consent
    Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with their legally binding electronic signature. You can even convert each submission into a downloadable, printable PDF!

    ** Accept Medical Bill Payments
    Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.Net. You won’t have to pay any additional transaction fees.

    ** Collect Patient Signatures and Files
    Patients can easily sign your forms with legally-binding electronic signatures and attach important medical documents, images, and other files.

    ** Integrate with 100+ Apps
    Connect your forms and surveys to HIPAA-compliant software like G Suite and Dropbox to sync submissions automatically and make patient data more organized and accessible for your team.

    ** Enable Mobile Responses
    All forms are mobile-responsive and can be filled out on any smartphone, tablet or computer with ease. Patients can check in to their appointment, register as a new patient, or update their medical history directly on your office’s device.

    ** Streamline Your Workflow
    Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients — or seamlessly integrate with other HIPAA-compliant software such as Dropbox, G Suite, and more.

    *** KEY FEATURES ***

    ** Automate Your Workflow
    - Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
    - Add conditional logic, calculations, and widgets
    - Set up autoresponders to send confirmation emails and reminders
    - Get notified of submissions instantly with push notifications
    - Collect multiple submissions at once with kiosk mode
    - Provide a touchless form-filling experience for your patients with QR codes

    ** Collaborate with your team
    - Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
    - Assign forms to patients or colleagues and view their responses

    ** Advanced Form Fields
    - Appointment calendar
    - GPS location capture
    - QR code and barcode scanner
    - Voice recorder
    - Signature capture (24/7 mobile sign)
    - File upload
    - Take photo

    ** Keep Patient Data Safe
    - 256-bit SSL encryption
    - PCI DSS Level 1
    - GDPR compliance
    - HIPAA compliance

    Privacy Policy: https://www.jotform.com/privacy
    Terms of Service: https://www.jotform.com/terms
  • 版本: 2.9.0

    版本更新日期

    2023-10-31

    Jotform Health: Medical Forms

    Jotform Health: Medical Forms

    Record & Track Patient History

    更新日志

    Bug fixes and performance improvements

    视频/截图

    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图
    Jotform Health - Medicare Form App 截图

    应用描述

    Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom HIPAA-compliant medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

    ** Create Forms Without Coding
    Building a HIPAA-compliant form with Jotform just takes a couple of minutes, and zero technical skill. You can make your own form or use our professional healthcare form templates.

    ** Stay HIPAA Compliant
    Our HIPAA-compliant forms encrypt submission data automatically, guaranteeing the privacy of your patients' health information. You'll also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

    ** Schedule Appointments
    Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

    ** Obtain Informed Consent
    Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with their legally binding electronic signature. You can even convert each submission into a downloadable, printable PDF!

    ** Accept Medical Bill Payments
    Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.Net. You won’t have to pay any additional transaction fees.

    ** Collect Patient Signatures and Files
    Patients can easily sign your forms with legally-binding electronic signatures and attach important medical documents, images, and other files.

    ** Integrate with 100+ Apps
    Connect your forms and surveys to HIPAA-compliant software like G Suite and Dropbox to sync submissions automatically and make patient data more organized and accessible for your team.

    ** Enable Mobile Responses
    All forms are mobile-responsive and can be filled out on any smartphone, tablet or computer with ease. Patients can check in to their appointment, register as a new patient, or update their medical history directly on your office’s device.

    ** Streamline Your Workflow
    Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients — or seamlessly integrate with other HIPAA-compliant software such as Dropbox, G Suite, and more.

    *** KEY FEATURES ***

    ** Automate Your Workflow
    - Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
    - Add conditional logic, calculations, and widgets
    - Set up autoresponders to send confirmation emails and reminders
    - Get notified of submissions instantly with push notifications
    - Collect multiple submissions at once with kiosk mode
    - Provide a touchless form-filling experience for your patients with QR codes

    ** Collaborate with your team
    - Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
    - Assign forms to patients or colleagues and view their responses

    ** Advanced Form Fields
    - Appointment calendar
    - GPS location capture
    - QR code and barcode scanner
    - Voice recorder
    - Signature capture (24/7 mobile sign)
    - File upload
    - Take photo

    ** Keep Patient Data Safe
    - 256-bit SSL encryption
    - PCI DSS Level 1
    - GDPR compliance
    - HIPAA compliance

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