Keep everyone safe and reduce the spread of the coronavirus with a free Screening Checklist for Visitors and Employees. And you can even protect submissions with sensitive health information using Jotform’s HIPAA compliance option. If you need to transfer the information to your other accounts - such as Salesforce, HubSpot, Zoho, Airtable, Trello, Slack, and more - use our free form integrations to do it automatically. Add your company logo, rearrange the layout, or include an e-signature field to let people officially sign off on their coronavirus checks. By keeping track of the symptoms of everyone who enters your building, you can take steps to prevent the coronavirus from spreading.This online form already has fields for names, symptoms, and temperature checks, but use our drag-and-drop Form Builder to add other fields that are essential for your needs. Whether you work for a hospital, doctor’s office, or other essential organization that needs to stay open, reduce the spread of COVID-19 by running checks on visitors and employees using our free online Screening Checklist for Visitors and Employees - easy to fill in on any device. Preview Screening Checklist For Visitors And EmployeesĪ screening checklist for visitors and employees is used to track the contact details and symptoms of every visitor or employee who has entered an establishment during the coronavirus crisis. All can be achieved without coding! Abstract Forms With Jotform’s 100+ integrations, you can also store and analyze your Medical Report Form submissions with Google Drive. Easily embed this form either on your website or share it via URL. Jotform is a fully customized, easy-to-use Form Builder that includes changing, adding, or removing fields through the drag and drop function, and changing the colors, fonts, and background without any coding required.
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As well as customizing fields and questions to match your needs, you can also update the design of this template.
Just customize the Medical Report Form to match your practice - add your logo and colors, and easily add more form fields. With Jotform’s free Medical Report Form template, you can collect information from patients instantly by embedding the form in your website - and the form can be filled out using a computer or tablet at your office, or using a mobile device at home. A medical report form is a document used by medical professionals for documenting a patient’s medical treatment.
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