Universal Medication Form
Share this universal medication form with your patients to improve your medical services, optimize your internal processes and digitize your healthcare business.
Customize template
123FormBuilder is a versatile tool for building forms and surveys, trusted by users in over 185 countries. You can personalize this universal medication 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 form's theme, drag & drop additional fields, use multiple recipients, secure submissions, and more.
Publish template
123FormBuilder's web forms are mobile-responsive and work on all devices. And you can publish your universal medication form anywhere online with simple copy and paste. Publishing options include JavaScript, HTML or iFrame embed, as well as a variety of popup lightboxes and more.
Collect & manage data
Streamline responses over a secure SSL connection that this universal medication form comes with. Manage all entries in a dedicated database from where you can export your entries in CSV, PDF and Excel. Connect this universal medication form 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 universal medication forms that speed up the data collection process. Each time someone will complete your universal medication form, you will be notified by email or SMS immediately. Get the best out of universal medication forms with 123FormBuilder.
