Patient registration form template
An efficient patient registration form template enhances the onboarding process, allowing you to provide efficient and personalised care. Simplify patient onboarding with our fully customisable patient registration form template. Whether you're a medical practice, clinic or healthcare facility, this form eases collecting vital patient information while protecting patient privacy and complying with HIPAA regulations.
Capture patients' personal details, medical history, emergency contact information and more. In addition, you can customise the form to your practice's unique needs using the intuitive drag-and-drop builder. Add your practice’s branding to create a welcoming and professional experience, ensuring patients feel at ease from the start.
Explore which features support this survey template
We have so many powerful features to help you launch surveys quickly, but here are our most popular ones for new users.
Customisable survey experiences
Out-of-the-box themes, accessible colour palettes, custom fonts, branding and more.
Many ways to send your surveys
Collect survey responses via email, website, SMS, social media, QR codes, offline and more.
Survey analysis; no training required
Automatic results summaries, filters, custom dashboards, crosstab reports, text analysis and more.
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Discover more resources
Healthcare Leader
Healthcare leaders can use this toolkit to help them better understand the patient and employee experience.
Client intake form template
Efficiently onboard clients with our customisable client intake form template. Get started today!
Patient intake form template
Efficiently onboard patients with our customisable Patient Intake Form template. Gather medical information seamlessly using the intuitive SurveyMonkey form builder.
Registration forms
Easily create and customize online registration forms with SurveyMonkey’s easy-to-use form builder. Sign up for a free account to get started.