Need some help getting started with Hush™ Secure Forms? We have a collection of healthcare form templates you can use as a starting point for your form. It’s a great way to find inspiration, or to find a completed template that already works for your business.
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Sign up nowA counseling appointment request form. You can link to this form from your website, social media, and email signature. Your customers can use the form to request an appointment with you.
Try this formA general intake form for adult clients. You can send this questionnaire to your new clients, to be completed prior to their first appointment.
Try this formA general intake form for child clients. You can send this questionnaire to the parents or guardians of your new clients, to be completed prior to their first appointment.
Try this formA client experience survey. After an appointment, send this survey to your clients to find out what went well, and how they think you can improve.
Try this formPHQ-9 is a questionnaire used by qualified professionals to help diagnose, monitor and measure the severity of depression.
Try this formA new dental patient form for your dental practice. You can send this form to your patients prior to their first appointment.
Try this formA dental appointment request form. You can link to this form from your website, social media, and email signature. Your customers can use the form to request an appointment with you.
Try this formGAD-7 is a questionnaire which can be used by qualified professionals to help diagnose, monitor and measure the severity of anxiety.
Try this formA COVID-19 screening questionnaire for your clients to complete before their appointment. You can modify the form as needed to comply with local health advice.
Try this formThe DASS is a 42-item questionnaire designed to help qualified professionals measure the three related negative emotional states of depression, anxiety and tension/stress.
Try this formThe DASS-21 is a 21-item questionnaire designed to help qualified professionals measure the three related negative emotional states of depression, anxiety and tension/stress.
Try this formAn intake form for massage therapy patients. You can send this questionnaire to your new clients, to be completed prior to their first appointment.
Try this formAn intake form for chiropractic clients. You can send this questionnaire to your new clients, to be completed prior to their first appointment.
Try this formAn intake form for physical therapy clients. You can send this questionnaire to your new clients, to be completed prior to their first appointment.
Try this formThe PCL-5 is a questionnaire used by qualified professionals to help diagnose, monitor and measure the severity of PTSD. Includes support for the optional LEC-5 and Criterion A formats as well as monthly and weekly formats.
Try this formAUDIT is a questionnaire which can be used by qualified professionals to identify people who would benefit from reducing or ceasing alcohol consumption.
Try this formAn intake form for your therapy clients to be completed by adults. You can send this questionnaire to your new clients, to be completed prior to their first appointment.
Try this formAn intake form for your therapy clients to be completed for the child. You can send this questionnaire to your new clients, to be completed prior to their first appointment.
Try this formThis consent form is used by psychologists when returning to in-person services during COVID-19. Please modify the form according to the policies in your office and health region.
Try this formSCARED is a questionnaire used by qualified professionals to screen for anxiety related disorders. This version is for the child to complete.
Try this formSCARED is a questionnaire used by qualified professionals to screen for anxiety related disorders. This version is for the parent to complete about the child.
Try this formSCAARED is a questionnaire used by qualified professionals to screen for anxiety related disorders. This version is for adults over the age of 18.
Try this formA Good Faith Estimate template suitable for sole practitioners working at a single location. This form is completed by the practitioner. The client receives a copy of the completed form.
Try this formHushmail for Healthcare includes Encrypted Email and a Private Message Center with optional Secure Forms and Electronic Signatures. We'll include a signed Business Associate Agreement (BAA) and Email Archiving to help with your HIPAA compliance.
Your email address will end with @hushmail.com, @hush.com, @therapyemail.com, @counselingmail.com, @therapysecure.com or @counselingsecure.com.
Sign upYour email address will end with your own domain name @yourcompany.com. If you don't have a domain name, you can use a Hushmail subdomain @yourcompany.hush.com.
Sign upAll prices displayed are in US dollars. Taxes may apply. Full refund if you cancel within 60 days.
Hushmail for Small Business includes Encrypted Email, a Private Message Center, and an Email Archive, with optional Secure Forms and Electronic Signatures.
Your email address will end with @hushmail.com, @hush.com, @hushmail.me, @hush.ai or @mac.hush.com.
Sign upYour email address will end with your own domain name @yourcompany.com. If you don't have a domain name, you can use a Hushmail subdomain @yourcompany.hush.com.
Sign upAll prices displayed are in US dollars. Taxes may apply. Full refund if you cancel within 60 days.
Hushmail for Law includes Encrypted Email, a Private Message Center, and an Email Archive, with optional Secure Forms and Electronic Signatures. Plus, we'll sign an agreement with customers in the U.S., Canada and the U.K. to seek judicial protection for the account, if necessary, on the basis that the contents are privileged, providing extra protection for your communications.
Your email address will end with @hushmail.com, @hush.com, @hushmail.me, @hush.ai or @mac.hush.com.
Sign upYour email address will end with your own domain name @yourcompany.com. If you don't have a domain name, you can use a Hushmail subdomain @yourcompany.hush.com.
Sign upAll prices displayed are in US dollars. Taxes may apply. Full refund if you cancel within 60 days.
Hushmail for Personal Use includes Encrypted Email and a Private Message Center, with an email address ending in @hushmail.com, @hushmail.me, @hush.com, @hush.ai or @mac.hush.com. Custom email domains are not available on this plan.
The price displayed is in US dollars. Taxes may apply.
Published on October 21, 2024
Read this guide for answers to all your questions on using online forms in a small healthcare practice. Read more.