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ADA Patient Screening Form

An interactive, intuitive, and functional ADA patient screening form template that gives you freedom from paperwork.

Katherine Ellison avatar

By Katherine Ellison on Aug 2, 2025.

Fact Checked by RJ Gumban.

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ADA Patient Screening Form Template

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Commonly asked questions

To create an ADA patient screening form, you either download the PDF template or access it from our Carepatron template library. You can find the specific steps on how to do this on this page and the linked video.

The ADA patient screening form requires the patient to complete every question that is listed there. It is not a complicated form, and all the questions are easily understandable. If your patient has reading difficulties, try reading it out to them. After all the questions are answered, a patient signature is required at the bottom for them to acknowledge that their statement on the screening form is true to the best of their knowledge.

The ADA patient screening form must be completed for legal requirements and patient safety. It screens for vital information about COVID-19 to limit spreading and protect a vulnerable population. The ADA patient screening form is not the only option out there though, and the healthcare practitioner has the freedom to use any forms that provide an equivalent function

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