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COVID-19 Vaccine Registration Form Template

COVID-19 Vaccine Registration Form Template

Use this registration template to create an efficient COVID-19 vaccine distribution workflow that makes it easy for patients to register for their doses.

Simplify your workflows

Trying to rapidly launch an efficient and streamlined COVID-19 vaccination distribution process? Use this vaccine registration form template to easily and securely gather patient data and add them to your vaccination queue. Eliminate tedious, error-prone, and time-consuming paper forms by digitizing your entire vaccination workflow. Here is additional information on setting up a vaccine registration process workflow.

Securely collect data

Provide front office workers, care teams, and back office staff a form solution they can rely on. Securely collect data with Formstack’s HIPAA compliant forms that include powerful features such as encryption, audit logging, and user-level permissions. Protect patient information while keeping your facility’s data secure from external threats.

Create a contactless experience

Keep patients safe with a contactless experience. Easily embed this registration form on your website, share with patients via email, or collect data using an in-office tablet. Formstack’s mobile-optimized forms make it easy to collect data from any device, enabling patients to submit their information from home, while waiting in the car, or on a kiosk.

Easily set up integrations

Use Formstack’s secure, HIPAA compliant integrations to easily connect your vaccine registration forms to the tools your team uses every day. Add Google Calendar to this form template to allow patients to quickly book vaccine appointments, or use Formstack’s open API and webhooks to build connections between your forms and most-used apps.    


Optimize your workflow

This vaccine registration form template is completely customizable to meet the needs of your organization and workflow. Any staff member can make changes in minutes using Formstack’s drag-and-drop form builder. Combine this form with our Documents and Sign products to create an efficient, flexible, and secure vaccine distribution workflow.

Formstack allows us to capture the data we need for regulatory bodies and to make sure patients are screened appropriately. Since launch, we’ve been at full capacity. Formstack has been a fantastic tool to help us get this off the ground.
Sarah Galyon
Operations Manager at UT Medical Center

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