Appointment request form template
Let clients request an appointment with their preferred times.
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How to make a appointment request form
- 1
Check the questions: rename, add or delete any field, or change how it’s answered.
- 2
Add your organisation’s name, a contact line and your logo if you like.
- 3
Choose fillable PDF, printable PDF, Word or HTML, and the paper size.
- 4
Download the appointment request form and share it, print it or add it to your website.
About this appointment request form
An appointment request form collects what you need to schedule someone: who they are, what the appointment is for, and when they can come. Clinics, salons, tutors, consultants, repair services and government offices use it at the front desk and on their websites.
Asking for two or three preferred times and a reminder preference cuts down on missed appointments and phone tag. Track confirmed bookings with the appointment schedule printable.
What’s on the appointment request form
The template has 3 sections and 15 questions. Every one can be renamed, moved or deleted.
- Your details: Full name; Phone; Email; New or returning? (choose one: New, Returning)
- Appointment: Type of appointment; Preferred person (if any); First choice date; Time (choose one: Morning, Afternoon, Evening); Second choice date; Time (choose one: Morning, Afternoon, Evening); Reason for appointment; Send me a reminder by (choose one: SMS, WhatsApp, Email, Phone call, No reminder)
- Office use: Confirmed date; Confirmed time; With
Tips
- Offer time windows (morning, afternoon) instead of exact times if your diary changes often.
- Ask how the person wants reminders; WhatsApp reminders noticeably reduce no-shows.
- State your cancellation notice period in the instructions.
Four ways to save it
A fillable PDF has typing boxes, tick boxes and choices built in. A printable PDF gives clean boxes and writing lines for pen and paper. The Word file can be edited further, and the HTML code adds the same questions to a website. Browse more form templates, or design a completely different layout in the custom form builder.
Frequently asked questions
Can patients request appointments online?
Yes. Download the HTML version for your website and connect it to a secure form handler. Health providers should check privacy rules before collecting medical details online.
What’s the difference from a booking request?
An appointment is time with a person (a doctor, a stylist). A booking reserves a thing or place (a room, equipment). The booking form asks about numbers and set-up.
Can I get the appointment request form as a Word document?
Yes. Choose “Word” under “Save as” to download a .docx file you can keep editing in Microsoft Word, Google Docs or LibreOffice.
Can I change the questions on the appointment request form?
Yes. Rename any question, change its answer type (short answer, tick boxes, rating, table and more), move it, or delete it. You can also add whole new sections.
Can I put the appointment request form on my website?
Yes. Choose “HTML” to copy ready-made form code with labels and a simple style. Set the form’s action to the address that should receive submissions, such as your own form handler.
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