Secure vaccination forms made simple

Streamline COVID-19 vaccination forms and data collection with one comprehensive platform.

Online forms are an essential part of the vaccine management process—for registrations, medical history forms, screening questionnaires, and more. With FormAssembly’s HIPAA compliant and FedRAMP Ready platform, healthcare, education, and government organizations can get vaccination forms up and running quickly with a streamlined data collection system.

Our platform offers encryption in transit and at rest, sensitive data masking, administrative controls, and other security measures so that you can rest assured that PHI is being handled correctly.

See our many use cases!

Important Note: This is not a form to register to receive a vaccine. This form is for healthcare providers and other organizations that administer vaccines and are interested in purchasing a form solution to support their processes.

The vaccination form solution you need

Find out how you can test drive vaccination forms!

Fill out the form below and we'll be in touch to help you set up a trial of our software!

Important Note: This is not a form to register to receive a vaccine. This form is for healthcare providers and other organizations that administer vaccines and are interested in purchasing a form solution to support their processes. 





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Collect, connect, protect

Collect

FormAssembly has pre-built vaccine form templates in our Template Library, making it easier than ever to get your healthcare forms up and running quickly. Create dropdown menus for patients to identify pre-existing conditions, enable form attachments so patients can attach insurance information, and more.

Connect

FormAssembly’s robust Salesforce integration enables organizations to safely funnel data into Salesforce without any manual backend data entry.

Protect

FormAssembly is HIPAA compliant and is the only FedRAMP Ready web form builder and data collection platform in the FedRAMP Marketplace. This means that our platform is secure enough to be used by any organization that is managing vaccination initiatives, including government agencies, healthcare providers, charities, schools, and others.

Your mission is critical—we’re here to help.

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