COVID-19 vaccines are in high demand and many healthcare professionals are offering first doses, second doses, and boosters. The Covid-19 Pre-Vaccination Checklist from Formsite simplifies data collection for each vaccine recipient to ensure patient safety and confidentiality regarding the COVID-19 vaccine. Protect yourself, the healthcare providers you work with, and your practice from liability and keep patients safe with this quick and easy to use coronavirus screening checklist.

This sample pre vaccination pre-vaccination checklist gathers vital information such as patient name, date of birth, contact information, whether the potential patient has received a first or second vaccine dose, as well as which type of previous dose they received. It also includes form fields that gather information about contraindications including anaphylaxis or any history of severe allergic reaction or side effects to immunizations, as well as current medicines, any immunosuppressive drugs or therapies, whether or not the individual feels sick today, or has a bleeding disorder or takes a blood thinner. There’s even a question to cover the possibility of reactions to polyethylene glycol (PEG) or polysorbate.

Tailor the form to gather any additional information you need, then embed it on your website, email the link, or post it to social media for easy viewing. No coding necessary! Mobile friendly, this HIPAA compliant screening tool minimizes errors and follows CDC and local health department best practices in gathering and securely storing pertinent patient vaccine information.

All form data can be securely downloaded and used in other software applications, too.

Health care professionals can more efficiently manage their COVID-19 patient intake process and data collection with this COVID-19 Patient Intake Form Template from Formsite. Quickly collect patient name, address, phone number, insurance information, preferred pharmacy, whether the patient has had a COVID-19 test or COVID-19 vaccine, past immunizations, current health conditions, pre-existing medical conditions that might lead to a weakened immune system, and more with a contactless workflow that follows U.S. Centers for Disease Control and Prevention (CDC) guidelines. Health care providers working in any size clinic will benefit from the quick and easy data collection process facilitated by this intake form.

With Formsite’s full suite of form builder tools, you can edit this sample form template, so it meets your needs. Once you’re finished, you can embed the form right into your website, so patients and patient advocates can fill it out on their tablet or smartphone and submit it. That way, when they arrive at your site, any information related to COVID-19 testing or COVID-19 vaccines is at your fingertips. Enable optional notifications, so you know when a form has been submitted.

You can also easily edit this patient intake form for streamlined, digital collection of vaccination records, from the Shingles vaccine to the flu shot, or tailor it to collect information related to a second dose or booster shot status. The options are limitless.

In compliance with recognized vaccine requirement guidelines, Formsite offers a COVID-19 Vaccine Exemption Form Template that facilitates expedited processes for medical contraindications or religious beliefs, recognized by the department of health. Here are the main features and benefits:

Key Features:

• Facilitates Reasonable Accommodations: Recognizes medical contraindications or religious beliefs as valid reasons for vaccine exemptions.
• Secure & HIPAA Compliance Available: Ensures the safety and protection of all health information and personal data through encryption and SSL/TLS security measures.
• Versatile Deployment: Easily embed the form on your website, share via email, or post on social media for rapid access and submissions.
• Mobile-Friendly: Accessible via smartphones or tablets, enabling convenient form completion and submission from anywhere.
• Workflow Streamlining: Optional notifications alert staff upon submission, streamlining the healthcare provider’s workflow.

Benefits:

• Security & Compliance: Ensures secure transit and storage of sensitive data.
• Accessibility: Mobile-friendly design ensures ease of access and submission from any device.
• Time Efficiency: Quick and simple customization using drag and drop tools streamlines the form creation process.
• Versatility: Not limited to COVID-19; the form can serve as a foundation for various other vaccine exemption requests.
• Data Collection: Gathers crucial medical exemption details such as name, date of birth, contact information, contraindications, history of severe allergic reactions, and other medical conditions.

Formsite’s COVID-19 Vaccine Exemption Form Template offers a comprehensive solution that prioritizes security, ease of use, and adaptability, catering to the diverse needs of healthcare providers and patients alike. This versatile template serves as an ideal starting point not only for COVID-19 vaccine exemptions but also for various other immunization exemption requests, streamlining the process and ensuring the collection of essential medical information necessary for exemptions.

Cover any potential for liability, while streamlining data collection with Formsite’s COVID-19 Vaccine Consent Form. In addition to getting a patient’s informed consent prior to vaccine administration of either the first or second dose of the coronavirus vaccine, this form template allows healthcare providers, vaccination appointment coordinators, and other vaccination providers to gather exactly the data they need in an easy to fill out, mobile friendly form. Gathering data and getting the information and permission you need to give a vaccine has never been easier.

This consent form can double as a fact sheet, because it includes up to date information about FDA approval, emergency use authorization (EUA), each of the COVID-19 vaccines, including Pfizer-Biontech, Moderna, and Johnson & Johnson, and eligibility information. Information collected includes name, contact information and phone number, date of birth, ethnicity (e.g. American Indian or Alaska Native, African American, Native Hawaiian or Pacific Islander, etc.), type of vaccine that will be administered (e.g. Pfizer, Moderna, Janssen), whether or not the person has a weakened immune system or is immunocompromised, as well as fields that ask about any severe allergic reaction or anaphylaxis responses to other immunizations, medications being taken (e.g. blood thinner), whether or not the person seeking the COVID-29 vaccine is pregnant or breastfeeding, and more. If you need to gather different information, just use our drag and drop editor. The form is completely customizable, and once you’re through you can embed it right into your website or send it out over email. No coding required!

Anyone wishing to get the COVID-19 vaccine can view the form with their smartphone or mobile device, fill it out, and submit it. That way, when they come in for their scheduled appointment all pertinent information is at your fingertips. Enable optional notifications so you know when a COVID-19 vaccine consent form has been submitted. You can also export the data to an external application for reporting or processing.

Has the COVID-19 pandemic changed how you do business or offer instruction? Drive webinar signups by using the Online Webinar Registration Form Template from Formsite. Manage, and grow, the number of webinar attendees, all while improving your online event registration workflow. This online form makes it easy to streamline your webinar registration process so that hosting webinars and online events through Zoom is easy and efficient.

Formsite form templates are user-friendly and are designed to be quickly and easily completed by anyone in your target audience, regardless of their technical skills. Users can easily complete the webinar event registration process on their smartphone or tablet, and submit the form. With our form builder tools you can customize a webinar registration form that meets your exact needs. Our drag-and-drop editor makes it easy to add and delete form fields. Our style tools allow you to set fonts and colors, the form reflects your brand.

Our form template includes fields for contact information like name and phone number, as well as a dropdown box for webinar topic selection. Formsite form templates also make it easy to integrate with Paypal to collect payment quickly and easily. Enable notifications to send confirmation emails containing registration information when a signup form is submitted. Formsite uses the latest technology for data encryption and secure connections (SSL / HTTPS), so you can collect data and funds safely and securely.

Easily embed this form template into your website or share it via email or social media to widen your audience reach.

Easily manage withdrawal requests impacted by the COVID-19 pandemic with Formsite’s user-friendly Class Withdrawal Due to COVID-19 Form Template. This tool streamlines the withdrawal process, providing swift support to students and enabling efficient updates to enrollment records for academic advisors and the registrar’s office.

Key Benefits:

• Secure Data Collection: Formsite employs cutting-edge data encryption and secure connections (SSL / HTTPS), ensuring the safe and secure collection of withdrawal information.
• Comprehensive Form Fields: The sample withdrawal form includes crucial school messaging about withdrawal policies, deadlines, post-COVID enrollment status, dropped course numbers, titles, final grades, and student athlete scholarship notes.
• Signature Sections: The form accommodates electronic student, advisor, instructor, and administrator signatures, facilitating a complete record of approvals and authorizations.
• Mobile Accessibility: Accessible on mobile devices, the form allows students, including graduate and international students, to easily fill in and submit the withdrawal request by the specified deadline.
• Customizable: Utilize Formsite’s robust form builder tools to tailor the form to your university registrar’s requirements. The drag-and-drop editor makes customization a breeze.

How It Works:

Formsite’s Class Withdrawal Due to COVID-19 Form Template is designed to streamline the withdrawal process, ensuring both students and administrative staff can efficiently manage withdrawal requests affected by the pandemic. The template includes fields for essential withdrawal information, allowing for a quick and thorough completion process. The mobile-friendly design ensures accessibility for all students, providing ease of use on various devices.

Simple Customization:

With Formsite’s user-friendly drag-and-drop editor, customizing the withdrawal form to suit your university’s unique needs is straightforward. Review the template and easily embed the customized form into your university’s website for seamless access.

Since the pandemic, the new normal for many workers has been working from home. But how has the remote work change impacted your employees’ work-life balance? What about their mental health? What about employee engagement? Has the change affected the company culture or the customer experience positively or negatively? Find out the answer to these survey questions and more with Formsite’s Work From Home Survey Form Template. Telecommuting is likely here to stay. This online survey questionnaire can help your human resources team understand your remote workers’ needs and experiences.

With this sample survey template, you can keep the survey anonymous and still collect basic demographic data, so respondents feel free to explain their employee experience. Survey questions include: How has working from a home office impacted well-being? What is the respondent’s perception of overall employee productivity? Of their own? Do they like their new work environment? What would make their working from tenure more pleasant and effective?

Add and remove questions as you see fit with our drag and drop editor. Would you like to tailor this sample form so it functions like an employee satisfaction survey or an employee engagement survey? Options are endless.

One your form is exactly as you want it, embed it right into your website or send it out over email to your employees. Submitted form data can be exported to other software apps so leadership teams and other stakeholders can be easily kept in the loop about employee experience.

Help your human resources team streamline and improve the employee transfer process so job vacancies are filled faster and downtime is minimized. Formsite’s Online Employee Transfer Request Form Template is equally useful to corporations, nonprofits, and academic environments, keeping department heads happy with staffing continuity.

Formsite’s easy to use form builder tool lets you customize this existing form template to create the employee transfer form that meets your unique needs. Once completed, your employee transfer request form can be seamlessly integrated into your company’s internal website, or sent via email, so employees can view the mobile friendly form on their smartphone or tablet.

This request form template captures basic employee data like employee name, phone number and current position. It then gets specific about the new job title sought and job description, as well as asking why the employee wants a transfer, if they believe their current assignments could be impacted, and why they think they are qualified. There’s even a space for the current supervisor’s signature.

Form data can be exported into a variety of software formats, including Microsoft Excel, Word and PDF. See our sample form below.

Protect your company’s data and your employees’ privacy, while streamlining employee status changes with Formsite’s Online Employee Status Form Template. The COVID-19 pandemic has changed everything, but you can still make your human resource department’s job easier.

This employee status change form template covers all the basics so you can easily record data changes. Fields include employee name, reason for a leave of absence, last day of work, whether someone is a rehire or a new employee, payroll changes (i.e. check or direct deposit), salary changes, changes to part-time or full-time status, legal name changes, and more, as well as the effective date of change. Our drag and drop editor makes it easy to add or remove fields to meet all your requirements.

All Formsite forms can be embedded into your website or shared via email. Form users can securely view this form, fill it out, and submit it from their smartphone or mobile device. Data can be exported into various formats including Excel and PDF formats. See our form sample below.

Securely and efficiently collect COVID 19-related confidential, personnel information from employees with this COVID-19 Self Declaration Form Template from Formsite. This self-declaration form can help minimize the spread of the COVID-19 virus at your organization, and help monitor personal circumstances that may lead to infection. All Formsite forms and surveys are protected with our SSL to keep data secure in transit and in storage, so employees can be certain their personal information is secure.

This sample form template collects all the self-declaration data you need, like full name, date of birth, phone number, number of household members, transportation type (personal vehicle, rail or other form of public transport, flight number for air travel, etc.). Need to gather different information? Easily add and remove fields using our drag and drop editor. Include short answer, long answer, drop downs, checkboxes, and calendars for quick data entry and to minimize entry errors.

This, and all Formsite forms, can be easily embedded in a website or shared via email. Form users can securely view this mobile friendly COVID-19 Self Declaration Form Template, fill it out, and submit it right from their own mobile device. All form data can be exported, too, for use in other applications.