Online Forms for Clinics

Build patient intake, appointment request and feedback forms in minutes. Share a link or embed them on your clinic website, and control access with passwords, schedules and response caps.

Forms a clinic uses every week

Admin and patient-experience forms, not medical records

Patient intake

Name, contact details, reason for visit and how they heard about you, filled in before they arrive.

Appointment requests

Preferred doctor, date and time. Your team calls or messages to confirm the slot.

Patient feedback

Rating, NPS and open comments after a visit, so you know what to improve.

Health camps and events

Registrations with a response cap and a closing date, so you never overbook.

Callback requests

A short form on your website for patients who want the clinic to call them back.

Staff and vendor forms

Job applications, leave requests and supplier details for the clinic team.

Control who responds and when

Included on the Free plan unless noted

Password protection

Share a form only with patients who have the password.

Schedules

Open and close a form on the dates and times you choose.

Response caps

Stop accepting responses after a set number, such as camp seats.

File uploads

Up to 10 MB per file on Free and 100 MB per file on Pro.

Conditional logic

Show follow-up questions only when they apply to the patient.

Pre-filled links

Fill in fields from the form URL, such as branch or doctor name.

Email notifications

Get an email for each response. Pro adds more recipients.

Team roles

Give staff Owner, Admin, Editor or Viewer access.

Set up a clinic form

From template to shared link

Pick a template
Start from a registration, booking or feedback template, or a blank form
Keep questions minimal
Ask only for what the front desk needs
Set access rules
Add a password, schedule or response cap if needed
Share or embed
Send the link on WhatsApp or SMS, or embed it on your clinic website

Use forms responsibly with patient data

Edesy Forms is a general-purpose form builder. It is not a medical records system, it does not claim HIPAA compliance, and it does not sign Business Associate Agreements.

Good fits

  • Contact details and appointment requests
  • Feedback, ratings and NPS surveys
  • Event, health camp and workshop registrations
  • Administrative forms for staff and suppliers

Check your obligations first

  • Diagnoses, prescriptions, test reports or full medical histories
  • Government ID numbers and insurance details
  • Anything your regulator, hospital policy or data protection law (such as India's DPDP Act) says needs extra safeguards

Simple habits that help

  • Ask for the minimum. A callback request needs a name, phone number and preferred time, not symptoms.
  • Tell patients why you collect each detail, and link to your privacy notice in the form description.
  • Password-protect forms that are meant only for registered patients, and close forms you no longer use.
  • Give most staff the Viewer role, and only share responses with people who need them.
  • Export and delete responses you no longer need.

Why clinics use Edesy Forms

Simple tools for small practices

For the front desk

  • Less typing at reception

    Patients enter their own contact details

  • Requests in one place

    Every response in a single list you can export

  • Email alerts

    Know when a new request comes in

  • Works on any phone

    Patients fill in forms from a shared link

For clinic owners

  • Hear from patients

    Ratings and NPS after each visit

  • See drop-offs

    Analytics show which question people skip

  • Free to start

    Unlimited forms and responses under fair use

  • Pro at ₹499 a month

    Remove branding and email patients a confirmation

Clinic forms FAQ

Explore more

Templates and guides for Edesy Forms

Build your clinic's first form

Sign up free, start from a template and share the link with patients today.