Healthcare Form Templates

Browse the healthcare form templates

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.

Hush Secure Forms is our secure, digital alternative to old-fashioned paper forms. You can launch a beautiful, personalized web form for your business in minutes with our drag-and-drop form builder, template directory, and built-in secure web hosting.

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Request an Appointment (Behavioral Health)

A 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.

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New Client Questionnaire (Adult)

An intake form for adult clients. You can send this questionnaire to your new clients, to be completed prior to their first appointment.

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New Client Questionnaire (Child)

An 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.

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Client Experience Survey

A 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.

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Patient Health Questionnaire (PHQ-9)

PHQ-9 is a self-administered questionnaire which can be used by qualified professionals to help diagnose, monitor and measure the severity of depression.

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New Dental Patient Form

A new dental patient form for your dental practice. You can send this form to your patients prior to their first appointment.

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Request an Appointment (Dental)

A 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.

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Ready to go digital? Sign up for any of our Hushmail for Healthcare plans today, and get a full refund if you cancel within 60 days. We'll even help you convert your paper forms to secure web forms. Not in Healthcare? See our plans for your industry here.

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  • 1 email account
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  • Up to 5 email accounts
  • Up to 5 secure web forms
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All prices displayed are in US dollars. Taxes may apply. Full refund if you cancel within 60 days.