Customize template

123FormBuilder is a versatile tool for building forms and surveys, trusted by users in over 185 countries. You can personalize this medical release form template in any way you want, without having to write a single line of code. Furthermore, you can add your own logo, change the template's design, add special fields such as an electronic signature, use multiple recipients, and more.

Publish template

This sample medical release form is compatible on all devices and you can publish it anywhere online. All you need to do is copy and paste the code or its link on your website or any other platform. Embed options include JavaScript, HTML and iFrame, as well as a variety of popup lightboxes and other.

Collect & manage data

Streamline your patient data over a secure SSL connection and manage them in a dedicated database from where you can export your list in CSV, PDF and Excel. Connect this medical release form with various third-party apps, such as Google Drive or Salesforce.

Optimize your flow

Paper forms are no longer a trend and they complicate your work on a busy day. With 123FormBuilder, you can create amazing online medical release forms that speed up the process. If you require a HIPPA compliant online medical release form, check out our compliance package for more information.

Ready for your first form?
  • nikon
  • univ-arkansas
  • aiesec
  • dc-fire
  • save-the-bay
  • how-to-web
  • think-edu