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Medicine and health
Template No.21
FORM TEMPLATE

Initial visit patient forms

Get detailed information about your patient's medical history using this simple and convenient form. You can edit, supplement and modify existing fields, set up appointment dates and times.

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Developed by: FormDesigner

FLEXIBLE PRICING

Available on the plan: Gold

Free test period of 7 days

  • No link to the FormDesigner website
  • Forms Unlimited
  • Upload storage 2 GB
  • Pages per form 25
  • Fields per form 30
  • Submissions 5000
  • Form Designer
  • Anti-spam protection
  • Adding custom CSS
Details
Capabilities

What you can do with this form

  • Fields, theme and logic are edited in the builder
  • A link, an embed on a site or a popup
  • Branches and different screens after submit
  • Submissions arrive in your account
  • Email and SMS to the admin and the respondent
  • Payment in the same form
  • Questions and labels are translated inside one form
  • Your own HTML and JavaScript in the form
  • Autofill from the page URL and cookies
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CLEAR ANSWERS

Questions about templates

Copy a ready form, then change fields in the builder.

Can I edit the form after creation?
Yes. After creation the form opens in the builder — change fields, theme, logic and any settings like any other form.
Do I need to install anything?
Sign up and create a form in the builder, without installing software.
How is the template price different from the plan?
The price on the page is the payment for the template itself. It is charged from your balance. The plan below is the plan this form is available on. A free template has no separate price.
What happens if I click Continue with this template?
The form is created from the template and opens in the builder. You can change the fields, theme and logic the same way as with a regular form.
Where can I place the form after it is created?
On a site as a link, an embed or a popup. You do not need to install a separate program.
Is the template available on the free plan?
The plan block on the page shows this. If a paid plan is listed, the template does not open on the free plan. Paid plans include a 7-day trial.
FORM TEMPLATE

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