Frequently Asked Questions

What is a patient registration form?

A patient registration form is a document that patients fill in with aspects of their medical condition. Hospitals and clinics share these types of forms with patients before treating them. The information is sensitive and governed by healthcare privacy laws such as the Health Insurance Portability and Accountability Act in the US (123 Form Builder is compliant with).

What should you include in a patient registration form?

Information that you should collect is the patient’s past medical history, insurance coverage, personal information such as name, date of birth, and home address. And of course, contact information, such as email and phone number.