A contact form for clinics and practices

What a clinic form should actually ask

Fields chosen to schedule a visit while steering medical detail to the consultation:

Every field you add costs completions, so this list is deliberately short; everything else is a question for the reply. The snippet below is the whole form; build a styled variant in the free form generator or start from a template.

<form action="https://formgong.com/submit" method="POST">
  <input type="hidden" name="access_key" value="fk_your_access_key">
  <label>Name <input type="text" name="name" required></label>
  <label>Phone <input type="tel" name="phone" required></label>
  <label>Email <input type="email" name="email"></label>
  <label>Appointment type
    <select name="appointment">
      <option>First visit</option><option>Follow-up</option><option>Consultation</option>
    </select>
  </label>
  <label>Preferred days or times <input type="text" name="preferred"></label>
  <label>Anything we should know (no medical details, please)
    <textarea name="note"></textarea>
  </label>
  <div style="position:absolute;left:-9999px" aria-hidden="true">
    <input type="text" name="botcheck" tabindex="-1" autocomplete="off">
  </div>
  <button type="submit">Send</button>
</form>

Three places the form can live

On the practice website, or as a hosted page linked from the Google profile where many patients actually find you:

• On your website: paste the form where the enquiry should happen. It is your HTML, so it inherits your design; the HTML docs list the hidden fields (redirect, subject, language).
• Without a website: every form also exists as a hosted page at formgong.com/f/<key>, built from the same saved design, plain HTML. That link goes in an Instagram bio, a Google Business Profile booking link, or a message, and submissions arrive exactly like the embedded form's.
• From a preset: the clinic appointment template creates the form with these fields in one click, connected to your account.

Where the enquiry lands, and how fast you see it

Each submission is delivered to email and, on every plan including Free, to Telegram, with Reply and Mark handled buttons in the chat. Reception sees requests in email; the practice owner can additionally get Telegram pings for same-day gaps worth filling. Every submission also sits in the dashboard inbox with CSV export, so a filtered email is never the only copy, and the free plan takes 1,000 submissions a month, which covers most small businesses with room to spare.

Spam is filtered server-side before it reaches you: a honeypot field, content checks, and optional Cloudflare Turnstile you switch on per form without touching the code. Flagged submissions land in a Spam folder you can review, so a real enquiry misjudged by the filter is one click away, not lost.

Health data, said plainly: what we do and do not claim

The honest part. Formgong stores submissions in Cloudflare D1 under EU jurisdiction, offers a DPA, shows a privacy notice with your policy link under every form, and never forces a consent checkbox where law does not require one; retention is configurable per form. What Formgong does not claim: HIPAA compliance. A US practice that needs a Business Associate Agreement for protected health information should use a healthcare-specific vendor for anything medical and keep a general form for scheduling-only requests, which is exactly what the field design above produces. For EU practices under GDPR, an appointment request with the "no medical details" framing is the pattern our own GDPR form-types guide describes: minimal data, a clear purpose, a linked policy.

What did we miss for your business?

If your clinic form asks something this page does not cover, or a field here earns nothing in your experience, write to support@formgong.com. These pages get better from working owners' corrections.