Blog

Ready-to-Use COVID-19 Emergency Response Forms

Blog

Ready-to-Use COVID-19 Emergency Response Forms

Blog

Ready-to-Use COVID-19 Emergency Response Forms

Blog

Ready-to-Use COVID-19 Emergency Response Forms

Blog

Ready-to-Use COVID-19 Emergency Response Forms

Blog

Ready-to-Use COVID-19 Emergency Response Forms

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Blog

Ready-to-Use COVID-19 Emergency Response Forms

Lindsay McGuire
/
April 28, 2020
Blog

Ready-to-Use COVID-19 Emergency Response Forms

MIN
/
April 28, 2020
About the Episode
Episode Highlights
Meet our Guest

Amidst the COVID-19 pandemic, teams need to adapt to new technology quicker than ever. If your organization is looking for a way to quickly collect essential information, Formstack is here to help.

Below you’ll find five ready-to-use form templates to help your organization capture the data you need quickly, safely, and securely. Easily embed these COVID-19 emergency response forms on your website, or access them on the go with your mobile phone or tablet.

COVID-19 Self-Declaration Form

Help your HR team monitor cases of coronavirus across your organization with a COVID-19 self-declaration form. This customizable form template tracks location, symptoms, and employee details to ensure your organization is covered when following the impact of COVID-19.

GET THIS TEMPLATE

Suspected COVID-19 Patient Intake

Streamline the intake of suspected coronavirus patients with this COVID-19 form template. With Formstack’s drag-and-drop form builder, it only takes a few minutes to customize this form template in minutes to fit the needs of your organization. Gather patient information such as insurance details, COVID-19 specific symptoms, and emergency contacts.

GET THIS TEMPLATE

General Patient Intake

Gather the patient information you need with this general patient intake template. Quickly capture emergency contacts, insurance details, referral information, and patient symptoms. Add or remove fields to customize this pre-built healthcare template to meet your organization’s needs. Start using this general patient intake form today with Formstack’s HIPAA plan.

GET THIS TEMPLATE

HIPAA Medical Release Form

Need a fast, HIPAA compliant way to let patients release their medical information at your organization? This HIPAA medical release form will make it easy for patients to grant outside access to their medical records and history.

GET THIS TEMPLATE

Doctor Referral Form

Quickly and easily refer patients to specialists with this doctor referral form template. This template makes it easy to send a thorough outline of your patient interactions to specialists inside or outside your network. Use Conditional Logic to customize this referral form to meet the needs of different patients.

GET THIS TEMPLATE

If you’re in need of other form templates not included above, visit our templates page to access more than 300 pre-built forms. You can also see some examples of the creative ways organizations have used Formstack to bring their operations online and keep their business moving forward.

If you're in need of a HIPAA-compliant data management solution, Formstack is here to help! Learn more about our versatile products made for healthcare.

Blog

Ready-to-Use COVID-19 Emergency Response Forms

Blog

Ready-to-Use COVID-19 Emergency Response Forms

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Amidst the COVID-19 pandemic, teams need to adapt to new technology quicker than ever. If your organization is looking for a way to quickly collect essential information, Formstack is here to help.

Below you’ll find five ready-to-use form templates to help your organization capture the data you need quickly, safely, and securely. Easily embed these COVID-19 emergency response forms on your website, or access them on the go with your mobile phone or tablet.

COVID-19 Self-Declaration Form

Help your HR team monitor cases of coronavirus across your organization with a COVID-19 self-declaration form. This customizable form template tracks location, symptoms, and employee details to ensure your organization is covered when following the impact of COVID-19.

GET THIS TEMPLATE

Suspected COVID-19 Patient Intake

Streamline the intake of suspected coronavirus patients with this COVID-19 form template. With Formstack’s drag-and-drop form builder, it only takes a few minutes to customize this form template in minutes to fit the needs of your organization. Gather patient information such as insurance details, COVID-19 specific symptoms, and emergency contacts.

GET THIS TEMPLATE

General Patient Intake

Gather the patient information you need with this general patient intake template. Quickly capture emergency contacts, insurance details, referral information, and patient symptoms. Add or remove fields to customize this pre-built healthcare template to meet your organization’s needs. Start using this general patient intake form today with Formstack’s HIPAA plan.

GET THIS TEMPLATE

HIPAA Medical Release Form

Need a fast, HIPAA compliant way to let patients release their medical information at your organization? This HIPAA medical release form will make it easy for patients to grant outside access to their medical records and history.

GET THIS TEMPLATE

Doctor Referral Form

Quickly and easily refer patients to specialists with this doctor referral form template. This template makes it easy to send a thorough outline of your patient interactions to specialists inside or outside your network. Use Conditional Logic to customize this referral form to meet the needs of different patients.

GET THIS TEMPLATE

If you’re in need of other form templates not included above, visit our templates page to access more than 300 pre-built forms. You can also see some examples of the creative ways organizations have used Formstack to bring their operations online and keep their business moving forward.

If you're in need of a HIPAA-compliant data management solution, Formstack is here to help! Learn more about our versatile products made for healthcare.

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Ready-to-Use COVID-19 Emergency Response Forms

Access digital COVID-19 form templates here, like a COVID-19 self-declaration form or suspected COVID-19 patient intake form.
Download InfographicDownload Infographic

Amidst the COVID-19 pandemic, teams need to adapt to new technology quicker than ever. If your organization is looking for a way to quickly collect essential information, Formstack is here to help.

Below you’ll find five ready-to-use form templates to help your organization capture the data you need quickly, safely, and securely. Easily embed these COVID-19 emergency response forms on your website, or access them on the go with your mobile phone or tablet.

COVID-19 Self-Declaration Form

Help your HR team monitor cases of coronavirus across your organization with a COVID-19 self-declaration form. This customizable form template tracks location, symptoms, and employee details to ensure your organization is covered when following the impact of COVID-19.

GET THIS TEMPLATE

Suspected COVID-19 Patient Intake

Streamline the intake of suspected coronavirus patients with this COVID-19 form template. With Formstack’s drag-and-drop form builder, it only takes a few minutes to customize this form template in minutes to fit the needs of your organization. Gather patient information such as insurance details, COVID-19 specific symptoms, and emergency contacts.

GET THIS TEMPLATE

General Patient Intake

Gather the patient information you need with this general patient intake template. Quickly capture emergency contacts, insurance details, referral information, and patient symptoms. Add or remove fields to customize this pre-built healthcare template to meet your organization’s needs. Start using this general patient intake form today with Formstack’s HIPAA plan.

GET THIS TEMPLATE

HIPAA Medical Release Form

Need a fast, HIPAA compliant way to let patients release their medical information at your organization? This HIPAA medical release form will make it easy for patients to grant outside access to their medical records and history.

GET THIS TEMPLATE

Doctor Referral Form

Quickly and easily refer patients to specialists with this doctor referral form template. This template makes it easy to send a thorough outline of your patient interactions to specialists inside or outside your network. Use Conditional Logic to customize this referral form to meet the needs of different patients.

GET THIS TEMPLATE

If you’re in need of other form templates not included above, visit our templates page to access more than 300 pre-built forms. You can also see some examples of the creative ways organizations have used Formstack to bring their operations online and keep their business moving forward.

If you're in need of a HIPAA-compliant data management solution, Formstack is here to help! Learn more about our versatile products made for healthcare.

Amidst the COVID-19 pandemic, teams need to adapt to new technology quicker than ever. If your organization is looking for a way to quickly collect essential information, Formstack is here to help.

Below you’ll find five ready-to-use form templates to help your organization capture the data you need quickly, safely, and securely. Easily embed these COVID-19 emergency response forms on your website, or access them on the go with your mobile phone or tablet.

COVID-19 Self-Declaration Form

Help your HR team monitor cases of coronavirus across your organization with a COVID-19 self-declaration form. This customizable form template tracks location, symptoms, and employee details to ensure your organization is covered when following the impact of COVID-19.

GET THIS TEMPLATE

Suspected COVID-19 Patient Intake

Streamline the intake of suspected coronavirus patients with this COVID-19 form template. With Formstack’s drag-and-drop form builder, it only takes a few minutes to customize this form template in minutes to fit the needs of your organization. Gather patient information such as insurance details, COVID-19 specific symptoms, and emergency contacts.

GET THIS TEMPLATE

General Patient Intake

Gather the patient information you need with this general patient intake template. Quickly capture emergency contacts, insurance details, referral information, and patient symptoms. Add or remove fields to customize this pre-built healthcare template to meet your organization’s needs. Start using this general patient intake form today with Formstack’s HIPAA plan.

GET THIS TEMPLATE

HIPAA Medical Release Form

Need a fast, HIPAA compliant way to let patients release their medical information at your organization? This HIPAA medical release form will make it easy for patients to grant outside access to their medical records and history.

GET THIS TEMPLATE

Doctor Referral Form

Quickly and easily refer patients to specialists with this doctor referral form template. This template makes it easy to send a thorough outline of your patient interactions to specialists inside or outside your network. Use Conditional Logic to customize this referral form to meet the needs of different patients.

GET THIS TEMPLATE

If you’re in need of other form templates not included above, visit our templates page to access more than 300 pre-built forms. You can also see some examples of the creative ways organizations have used Formstack to bring their operations online and keep their business moving forward.

If you're in need of a HIPAA-compliant data management solution, Formstack is here to help! Learn more about our versatile products made for healthcare.

Collecting payments with online forms is easy, but first, you have to choose the right payment gateway. Browse the providers in our gateway credit card processing comparison chart to find the best option for your business. Then sign up for Formstack Forms, customize your payment forms, and start collecting profits in minutes.

Online Payment Gateway Comparison Chart

NOTE: These amounts reflect the monthly subscription for the payment provider. Formstack does not charge a fee to integrate with any of our payment partners.

FEATURES
Authorize.Net
Bambora
Chargify
First Data
PayPal
PayPal Pro
PayPal Payflow
Stripe
WePay
ProPay
Monthly Fees
$25
$25
$149+
Contact First Data
$0
$25
$0-$25
$0
$0
$4
Transaction Fees
$2.9% + 30¢
$2.9% + 30¢
N/A
Contact First Data
$2.9% + 30¢
$2.9% + 30¢
10¢
$2.9% + 30¢
$2.9% + 30¢
$2.6% + 30¢
Countries
5
8
Based on payment gateway
50+
203
3
4
25
USA
USA
Currencies
11
2
23
140
25
23
25
135+
1
1
Card Types
6
13
Based on payment gateway
5
9
9
5
6
4
4
Limits
None
None
Based on payment gateway
None
$10,000
None
None
None
None
$500 per transaction
Form Payments
Recurring Billing
Mobile Payments
PSD2 Compliant

Amidst the COVID-19 pandemic, teams need to adapt to new technology quicker than ever. If your organization is looking for a way to quickly collect essential information, Formstack is here to help.

Below you’ll find five ready-to-use form templates to help your organization capture the data you need quickly, safely, and securely. Easily embed these COVID-19 emergency response forms on your website, or access them on the go with your mobile phone or tablet.

COVID-19 Self-Declaration Form

Help your HR team monitor cases of coronavirus across your organization with a COVID-19 self-declaration form. This customizable form template tracks location, symptoms, and employee details to ensure your organization is covered when following the impact of COVID-19.

GET THIS TEMPLATE

Suspected COVID-19 Patient Intake

Streamline the intake of suspected coronavirus patients with this COVID-19 form template. With Formstack’s drag-and-drop form builder, it only takes a few minutes to customize this form template in minutes to fit the needs of your organization. Gather patient information such as insurance details, COVID-19 specific symptoms, and emergency contacts.

GET THIS TEMPLATE

General Patient Intake

Gather the patient information you need with this general patient intake template. Quickly capture emergency contacts, insurance details, referral information, and patient symptoms. Add or remove fields to customize this pre-built healthcare template to meet your organization’s needs. Start using this general patient intake form today with Formstack’s HIPAA plan.

GET THIS TEMPLATE

HIPAA Medical Release Form

Need a fast, HIPAA compliant way to let patients release their medical information at your organization? This HIPAA medical release form will make it easy for patients to grant outside access to their medical records and history.

GET THIS TEMPLATE

Doctor Referral Form

Quickly and easily refer patients to specialists with this doctor referral form template. This template makes it easy to send a thorough outline of your patient interactions to specialists inside or outside your network. Use Conditional Logic to customize this referral form to meet the needs of different patients.

GET THIS TEMPLATE

If you’re in need of other form templates not included above, visit our templates page to access more than 300 pre-built forms. You can also see some examples of the creative ways organizations have used Formstack to bring their operations online and keep their business moving forward.

If you're in need of a HIPAA-compliant data management solution, Formstack is here to help! Learn more about our versatile products made for healthcare.

Amidst the COVID-19 pandemic, teams need to adapt to new technology quicker than ever. If your organization is looking for a way to quickly collect essential information, Formstack is here to help.

Below you’ll find five ready-to-use form templates to help your organization capture the data you need quickly, safely, and securely. Easily embed these COVID-19 emergency response forms on your website, or access them on the go with your mobile phone or tablet.

COVID-19 Self-Declaration Form

Help your HR team monitor cases of coronavirus across your organization with a COVID-19 self-declaration form. This customizable form template tracks location, symptoms, and employee details to ensure your organization is covered when following the impact of COVID-19.

GET THIS TEMPLATE

Suspected COVID-19 Patient Intake

Streamline the intake of suspected coronavirus patients with this COVID-19 form template. With Formstack’s drag-and-drop form builder, it only takes a few minutes to customize this form template in minutes to fit the needs of your organization. Gather patient information such as insurance details, COVID-19 specific symptoms, and emergency contacts.

GET THIS TEMPLATE

General Patient Intake

Gather the patient information you need with this general patient intake template. Quickly capture emergency contacts, insurance details, referral information, and patient symptoms. Add or remove fields to customize this pre-built healthcare template to meet your organization’s needs. Start using this general patient intake form today with Formstack’s HIPAA plan.

GET THIS TEMPLATE

HIPAA Medical Release Form

Need a fast, HIPAA compliant way to let patients release their medical information at your organization? This HIPAA medical release form will make it easy for patients to grant outside access to their medical records and history.

GET THIS TEMPLATE

Doctor Referral Form

Quickly and easily refer patients to specialists with this doctor referral form template. This template makes it easy to send a thorough outline of your patient interactions to specialists inside or outside your network. Use Conditional Logic to customize this referral form to meet the needs of different patients.

GET THIS TEMPLATE

If you’re in need of other form templates not included above, visit our templates page to access more than 300 pre-built forms. You can also see some examples of the creative ways organizations have used Formstack to bring their operations online and keep their business moving forward.

If you're in need of a HIPAA-compliant data management solution, Formstack is here to help! Learn more about our versatile products made for healthcare.

Amidst the COVID-19 pandemic, teams need to adapt to new technology quicker than ever. If your organization is looking for a way to quickly collect essential information, Formstack is here to help.

Below you’ll find five ready-to-use form templates to help your organization capture the data you need quickly, safely, and securely. Easily embed these COVID-19 emergency response forms on your website, or access them on the go with your mobile phone or tablet.

COVID-19 Self-Declaration Form

Help your HR team monitor cases of coronavirus across your organization with a COVID-19 self-declaration form. This customizable form template tracks location, symptoms, and employee details to ensure your organization is covered when following the impact of COVID-19.

GET THIS TEMPLATE

Suspected COVID-19 Patient Intake

Streamline the intake of suspected coronavirus patients with this COVID-19 form template. With Formstack’s drag-and-drop form builder, it only takes a few minutes to customize this form template in minutes to fit the needs of your organization. Gather patient information such as insurance details, COVID-19 specific symptoms, and emergency contacts.

GET THIS TEMPLATE

General Patient Intake

Gather the patient information you need with this general patient intake template. Quickly capture emergency contacts, insurance details, referral information, and patient symptoms. Add or remove fields to customize this pre-built healthcare template to meet your organization’s needs. Start using this general patient intake form today with Formstack’s HIPAA plan.

GET THIS TEMPLATE

HIPAA Medical Release Form

Need a fast, HIPAA compliant way to let patients release their medical information at your organization? This HIPAA medical release form will make it easy for patients to grant outside access to their medical records and history.

GET THIS TEMPLATE

Doctor Referral Form

Quickly and easily refer patients to specialists with this doctor referral form template. This template makes it easy to send a thorough outline of your patient interactions to specialists inside or outside your network. Use Conditional Logic to customize this referral form to meet the needs of different patients.

GET THIS TEMPLATE

If you’re in need of other form templates not included above, visit our templates page to access more than 300 pre-built forms. You can also see some examples of the creative ways organizations have used Formstack to bring their operations online and keep their business moving forward.

If you're in need of a HIPAA-compliant data management solution, Formstack is here to help! Learn more about our versatile products made for healthcare.

Amidst the COVID-19 pandemic, teams need to adapt to new technology quicker than ever. If your organization is looking for a way to quickly collect essential information, Formstack is here to help.

Below you’ll find five ready-to-use form templates to help your organization capture the data you need quickly, safely, and securely. Easily embed these COVID-19 emergency response forms on your website, or access them on the go with your mobile phone or tablet.

COVID-19 Self-Declaration Form

Help your HR team monitor cases of coronavirus across your organization with a COVID-19 self-declaration form. This customizable form template tracks location, symptoms, and employee details to ensure your organization is covered when following the impact of COVID-19.

GET THIS TEMPLATE

Suspected COVID-19 Patient Intake

Streamline the intake of suspected coronavirus patients with this COVID-19 form template. With Formstack’s drag-and-drop form builder, it only takes a few minutes to customize this form template in minutes to fit the needs of your organization. Gather patient information such as insurance details, COVID-19 specific symptoms, and emergency contacts.

GET THIS TEMPLATE

General Patient Intake

Gather the patient information you need with this general patient intake template. Quickly capture emergency contacts, insurance details, referral information, and patient symptoms. Add or remove fields to customize this pre-built healthcare template to meet your organization’s needs. Start using this general patient intake form today with Formstack’s HIPAA plan.

GET THIS TEMPLATE

HIPAA Medical Release Form

Need a fast, HIPAA compliant way to let patients release their medical information at your organization? This HIPAA medical release form will make it easy for patients to grant outside access to their medical records and history.

GET THIS TEMPLATE

Doctor Referral Form

Quickly and easily refer patients to specialists with this doctor referral form template. This template makes it easy to send a thorough outline of your patient interactions to specialists inside or outside your network. Use Conditional Logic to customize this referral form to meet the needs of different patients.

GET THIS TEMPLATE

If you’re in need of other form templates not included above, visit our templates page to access more than 300 pre-built forms. You can also see some examples of the creative ways organizations have used Formstack to bring their operations online and keep their business moving forward.

If you're in need of a HIPAA-compliant data management solution, Formstack is here to help! Learn more about our versatile products made for healthcare.

Amidst the COVID-19 pandemic, teams need to adapt to new technology quicker than ever. If your organization is looking for a way to quickly collect essential information, Formstack is here to help.

Below you’ll find five ready-to-use form templates to help your organization capture the data you need quickly, safely, and securely. Easily embed these COVID-19 emergency response forms on your website, or access them on the go with your mobile phone or tablet.

COVID-19 Self-Declaration Form

Help your HR team monitor cases of coronavirus across your organization with a COVID-19 self-declaration form. This customizable form template tracks location, symptoms, and employee details to ensure your organization is covered when following the impact of COVID-19.

GET THIS TEMPLATE

Suspected COVID-19 Patient Intake

Streamline the intake of suspected coronavirus patients with this COVID-19 form template. With Formstack’s drag-and-drop form builder, it only takes a few minutes to customize this form template in minutes to fit the needs of your organization. Gather patient information such as insurance details, COVID-19 specific symptoms, and emergency contacts.

GET THIS TEMPLATE

General Patient Intake

Gather the patient information you need with this general patient intake template. Quickly capture emergency contacts, insurance details, referral information, and patient symptoms. Add or remove fields to customize this pre-built healthcare template to meet your organization’s needs. Start using this general patient intake form today with Formstack’s HIPAA plan.

GET THIS TEMPLATE

HIPAA Medical Release Form

Need a fast, HIPAA compliant way to let patients release their medical information at your organization? This HIPAA medical release form will make it easy for patients to grant outside access to their medical records and history.

GET THIS TEMPLATE

Doctor Referral Form

Quickly and easily refer patients to specialists with this doctor referral form template. This template makes it easy to send a thorough outline of your patient interactions to specialists inside or outside your network. Use Conditional Logic to customize this referral form to meet the needs of different patients.

GET THIS TEMPLATE

If you’re in need of other form templates not included above, visit our templates page to access more than 300 pre-built forms. You can also see some examples of the creative ways organizations have used Formstack to bring their operations online and keep their business moving forward.

If you're in need of a HIPAA-compliant data management solution, Formstack is here to help! Learn more about our versatile products made for healthcare.

Lindsay McGuire
Lindsay is the Content Marketing Manager at Formstack, splitting her time between creating blog content and producing Formstack's Ripple Effect podcast. She is a graduate of the University of Missouri School of Journalism and enjoys all facets of marketing.
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