Health and Lifestyle Templates - Doctor New Patient Registration Form

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Use This Template

Are you in need on an online form to collect patient data? Use this free template.  Add or remove any fields as you need.  You can easily push the data into any other 3rd party system you have in place. You can also post a QR code for this form to facilitate on-site data capture. You can fully customize this template using FormTitan landing page builder. with zero coding you can add a bi directional read and write integration to make your form sync with your Salesforce data.

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installation for Google Site

Please follow these simple steps

  • Click on the Edit Page button on your page in Google Site
  • Click on Insert Menu
  • Click on More Gadgets link. Now the Setup your gadget form appears
  • Click on Add gadget by URL link.
  • Copy the following URL and paste it in the Enter URL box https://formtitan.com/google/gadgets/.xml
  • Click on Add button
  • Provide Gadget Settings
    • Your Email address
    • Size of form
    • Theme
  • See the Preveiw of the gadget
  • Click on OK button