COVID-19 Vaccine Registration Form Template

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

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.

Use Formstack’s secure 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.    

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.