Doctor Appointment Form Template

Sign up free
All Templates

Templates overview

Make scheduling a doctor’s appointment with your medical practice as easy as possible. This doctor appointment form template is a simple way for both new patients and current patients to submit an appointment request. Whether you are a primary care physician or another type of healthcare provider, this request form offers both convenience and efficiency.

The easy-to-use online form offers standard contact fields for patient information, such as patient’s name, date of birth and best contact phone number. Patients can also select a preferred healthcare provider and list any pertinent medical information or concerns that they are having. As the administrator, you can enable optional notifications so you never miss another appointment request!

Form Preview

Formsite makes it easy to build and create forms for online use. We offer templates for some of the most common needs, or the ability to create custom forms to suit your practice or business. Get started today!

Looking for something else? Try our volunteer sign up sheet template.