Templates Health & Wellness Medical GP Surgery Appointment Booking Form Template

GP Surgery Appointment Booking Form Template

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Step 1 of 3
Patient Name
If you need an appointment for someone under 18, please provide your own contact details.
Patient Email Address
If you need an appointment for someone under 18, please provide your own contact details.
Patient's Current Address

The GP Surgery Appointment Booking form template allows individuals to make an appointment with a doctor, nurse, or GP online easily. By integrating this form template into your website, you can efficiently receive appointment requests from individuals seeking medical assistance.

How Does the GP Surgery Appointment Booking Form Template Work?

The best part of the GP Surgery Appointment Booking form template is it’s a multi-page form, enhancing user experience. As the individuals fill out the form, they can see the progress of the form through the progress bar at the top.

The form template is divided into 3 steps. In the first step, the form records the patient’s name, gender, email, phone, and current address, including the city, state, postal code, and country. These details are necessary for identification, record-keeping, and communication purposes.

The second step collects the appointment details from the patient or individual submitting the form. The individuals or patients can specify how soon they need to talk to the GP, ensuring patients get timely appointments according to the urgency. Also, the form provides a wide text area where they can share in detail about their problems and symptoms. Moreover, they can specify what help they want from GP practitioner, enabling them to effectively communicate their needs.

The third step is the COVID-19 questionnaire. Here, patients can share whether they experienced COVID-19 symptoms in the past 14 days and whether they took the test for the same.

The GP Surgery Appointment Booking form makes it easier for patients to complete the appointment process by breaking it into 3 steps, reducing their load. Also, you can customize the form’s fields to tailor to your medical services using our drag-and-drop form builder.

Get the GP Surgery Appointment Booking form template by signing up with WPForms today to streamline your appointment scheduling process effectively.