Patient Registration Form Template

Before registering your patients, gather basic information from them to assist you in providing better service. This patient registration form template is valuable for reducing the time-consuming task of manually registering patients. Let’s take a look at some more features down below.

Multi-Device Compatibility

Allow your patients to access this template via any device, including tablets, desktop computers, and smartphones. It is designed as a mobile-first priority for your patients’ utmost convenience.

Easy Sharing

This template includes several sharing options, including a weblink and a scannable QR code. The image of the code can be printed on patient registration brochures and receipts. You can also post it somewhere in your hospital or clinic where patients can scan the QR code to access the patient registration form.

Display/Skip Logic

Each question may not be necessary for your patients to answer. Ask pertinent and matching questions instead of bombarding your patients with irrelevant ones. This medical registration form template includes a display/skip logic. Based on previous responses from your patients, you can show or hide a question.

Multilingual Survey

Allow your patients to respond in the language with which they are most comfortable. SurveySparrow supports over 50 languages, and you can translate responses into your desired language as soon as they are received.

Secure your Data

Your patient registration data is critical for both ends, which is why this new patient registration form template includes high data security by using SSL to establish a connection, ensuring the safety and security of your data.