Wellness Screening Signup
Healthcare
Sign people up for a scheduled screening event with which checks they want and a group affiliation — not a clinical result.
A wellness fair that only counts chairs cannot stock the right stations. This GRTforms template asks which checks people want and whether they can arrive fasting. It is event intake — not a screening result, not a diagnosis, and not medical advice.
Who it is for
Occupational-health teams, school nurses, and community clinics that run dated screening days.
When to use it
Use it to staff a known date. Symptom Check-in is an acute note. Vaccination Interest is shots. Therapy Intake is counseling. Appointment Request is a regular clinic slot.
What this form collects
Identity, optional date, role, optional group name, station checkboxes, fasting plan, and optional notes.
- Employer biometric day
- School vision-and-hearing morning
- Church or community blood-pressure table with an appointment window
Preview mode: This is a live read-only render of the template. Sign up to clone it into your account, or customize it with the guest AI builder first.
Wellness Screening Signup
Frequently asked questions
Will I get results through this form?
No. Stations still run on paper or the device you already use. The form only signs people up.
Is the fasting question medical advice?
No. It is logistics so you do not put someone in a lab line who cannot fast. Your clinicians decide what is offered that day.
Can I require a consent PDF?
Add a file field or a signature after you clone the template if your occupational-health policy needs one. Keep counsel in that conversation — this catalog page is not legal advice.
Related templates
Nearby GRTforms templates for the same job or the next step after this one.
Symptom Check-in
Let an existing patient send a same-day note with onset, what changed, and whether they want a call — not a diagnosis.
Vaccination Interest
Gauge interest in a clinic date with which vaccines they are asking about and a preferred window — not a standing order.
Therapy Intake
Start behavioral-health scheduling with contact, format, timing, and what they want help with — intake, not an assessment.
Appointment / Booking Request
Request an appointment with a preferred date and time window.
New Patient Intake
Open a first-visit file with identity, a reason for coming, and optional coverage details — intake only, not a chart.