Medical Record Transfer Request
Share this medical record transfer request with your patients to improve your medical services, optimize your internal processes and digitize your healthcare business.
123FormBuilder is a versatile tool for building forms and surveys, trusted by users in over 185 countries. You can personalize this medical record transfer request template in any way you want, without having to write a single line of code. Furthermore, you can add your own logo, change the form's theme, drag & drop additional fields, use multiple recipients, secure submissions, and more.
Collect & manage data
Streamline responses over a secure SSL connection that this medical record transfer request comes with. Manage all entries in a dedicated database from where you can export your entries in CSV, PDF and Excel. Connect this medical record transfer request with various third-party apps, such as Google Drive, Dropbox and MailChimp. You can also build reports with widgets and grahps that highlight valuable insights.
Optimize your flow
Paper forms are from the past. With 123FormBuilder, you can create amazing online medical record transfer requests that speed up the data collection process. Each time someone will complete the medical record transfer request, you will be notified by email or SMS immediately. Get the best out of medical record transfer requests with 123FormBuilder.