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Medical History Forms

Choose one of the medical history form templates that work for you and your health institution, and start recording and tracking your patients' medical history. Creating your form is a very simple process with the easy interface of forms.app, with no coding knowledge required.

41 templates are listed in this category

Medical History Form

Medical History Form

The traditional way of getting a patient's medical history is by having them fill out a form in your office. This process can be time-consuming and inconvenient for both you and the patient. Use an online medical history form template instead! With forms.app, you can create a custom form in minutes. Plus, you will be able to add or remove questions easily and effortlessly.
HIPAA Medical History Form

HIPAA Medical History Form

A HIPAA medical history form is an essential tool for healthcare providers to securely collect and store patients' health information. This template ensures compliance with HIPAA regulations, safeguarding sensitive medical data while streamlining the patient intake process. Get started with this free template today!
Medical Intake Form

Medical Intake Form

The medical intake form is a critical document that helps the healthcare provider to get a complete picture of the patient's condition. It is used to determine the best course of treatment for the individual. On forms.app, you can easily select this medical intake form template and create your custom form in minutes.
Patient Intake Form

Patient Intake Form

A patient intake form is a document to collect medical details about the patient, such as genetic illnesses, symptoms, and past operations. By creating an online intake form on forms.app, you can easily automate the data collection and save time. Plus, it is possible to have your form thanks to forms.app’s free patient intake form template. So, get started now and create your custom form today!
Botulinum Toxin Medical History Form

Botulinum Toxin Medical History Form

Digital forms help you prepare for a safe and efficient botulinum toxin treatment process. A botulinum toxin medical history form is an essential document to gather critical patient health information before administering any procedures. Get started now with this free and customizable template!
New Patient Enrollment Form

New Patient Enrollment Form

If you own a private clinic or hospital, you may use online forms to strengthen your communication with your patients. One of these forms is the new patient enrollment form which helps with the data collection process. Start today with the new patient enrollment form template below!
Immunization Record Request Form

Immunization Record Request Form

With the immunization record request form, doctors, nurses, and healthcare professionals, in short, can keep an electronic record of your patients' immunization. You can easily access the immunization request records. You can customize the form as you see fit.
Medicare Enrollment Form

Medicare Enrollment Form

Processes such as creating a new patient record or obtaining information about your patient's medical history are now even easier with online medicare form templates. Communication between the healthcare professional and the patient must be maintained to understand the patient better. This form builder has various templates for healthcare institutions and individuals to strengthen patient relationships.
Medical Record Audit Form

Medical Record Audit Form

Healthcare professionals must keep accurate and complete medical records in order to provide effective healthcare. Therefore, with the help of an online form, you can not only keep all records accurately at hand but also make your work more practical. Use our free medical record audit form template to create your online form more easily!
Request to Obtain a Copy of Clinical Record Form

Request to Obtain a Copy of Clinical Record Form

Patients or beneficiaries can request a copy of their medical records from a healthcare organization. Hospitals and clinics can use this request form to gather document requests from people who receive medical care and request a copy of their medical records.
Pet Health Record Form

Pet Health Record Form

Do you want to keep track of pets' information in a more organized way? By using the Pet health record form template, you can keep the important information about pets together without even adding questions. You can get started quickly using forms.app!
Medical Records Request Form

Medical Records Request Form

If you want to collect requests from patients, you can easily do so with an online form. Luckily, forms.app allows you to create your own medical records request form based on your team’s needs. You may quickly get started by clicking the “Use Template” button if you do not want to waste any time searching for a suitable form.
Request to Inspect a Copy of Clinical Record Form

Request to Inspect a Copy of Clinical Record Form

Check out this request to inspect a copy of clinical record form template to quickly create your form and collect requests online for free. You can create your request to inspect a copy of clinical record form in minutes with no coding. To start now, click the ‘’Use Template’’ button.
Weight Tracker Form

Weight Tracker Form

A weight tracker form helps individuals or health coaches monitor weight changes over time for fitness, wellness, or medical goals. With this easy-to-use and customizable template from forms.app, you can log and visualize your progress with clarity. Click “Use Template” to start tracking today!
Botulinum Toxin Treatment Record Form

Botulinum Toxin Treatment Record Form

A botulinum toxin treatment record form helps clinics and practitioners document patient information, dosage, and injection sites for each treatment session. This customizable template from forms.app supports accurate tracking, patient safety, and compliance with medical standards. Click “Use Template” to get started now!
Mental Health Intake Form

Mental Health Intake Form

The mental health intake form is a document that captures the details of an individual's experience with their mental health. By using an online form, you can gather the necessary information in a standardized way before consulting with the patient. This mental health intake form template was created to help clinicians streamline the data collecting process and worm more efficiently.
Permission to Treat Form

Permission to Treat Form

A growing number of private clinics are now using online permission to treat forms in order to streamline the process of obtaining consent from patients. These forms allow patients to provide their consent for treatment through an online form, which can then be processed by the clinic. This system eliminates the need for paper forms and allows clinics to easily track patient consent.
Chiropractic Intake Form

Chiropractic Intake Form

A chiropractic intake form is a document used by chiropractors to gather important information about a patient's health history, current symptoms, and treatment preferences. If you are creating a chiropractic intake form, you need to follow some essential steps, and avoid at the same time.
Pet Insurance Claim Form

Pet Insurance Claim Form

Pet insurance reimburses insured veterinary expenses related to a pet's medical event or care. As an insurance company, you can use the pet insurance claim form to gather claims for your organization or agency easily. Create your form for free today using forms.app to complete pet insurance transactions quickly and reliably!
Child Health Survey

Child Health Survey

Child health surveys are used to collect important information about the health and well-being of children in the community. Use this free survey template to understand children's needs and identify ways to support their physical and mental development, and create your professional health survey!
Children’s Nutrition Questionnaire

Children’s Nutrition Questionnaire

Assessing children's dietary intake and nutritional status allows you to prevent future health problems. Create your children’s nutrition questionnaire using this free template and identify possible nutritional problems in the child's diet. Customize the template as you wish and create your professional questionnaire!
Depression Questionnaire

Depression Questionnaire

Depression is a health and mental state condition with numerous types and can be hidden for a long time. So it may be necessary to use methods, like online surveys, to detect it. Create your free questionnaire with the depression questionnaire template today to identify your patient's condition!
Health Survey

Health Survey

Use a health survey to collect data about the general health status of a population or group and analyze the results. Create your survey in minutes with this free, customizable health survey template!
Wellness Evaluation Form

Wellness Evaluation Form

This wellness evaluation form assesses a person's physical and mental health. A wellness evaluation form aims to help professionals determine an individual's overall health. You can easily obtain this form and customize it for your goals. Get started by clicking the “Use Template” button now!
Stress Management Questionnaire

Stress Management Questionnaire

A stress management questionnaire is a way to measure a person's stress level. Usually, mental health professionals use it to ask a set of questions related to stress and how individuals respond to these stressful situations. Use this stress management questionnaire template to create your survey today.
Beck Depression Inventory Questionnaire

Beck Depression Inventory Questionnaire

The beck depression inventory is a widely used test to assess the presence and severity of symptoms of depression. With forms.app's free beck depression inventory questionnaire, you can take the first step towards overcoming the effects of depression. Start using this online questionnaire to measure symptoms of depression today!
Center for Epidemiologic Studies Depression Scale Form

Center for Epidemiologic Studies Depression Scale Form

Center for epidemiologic studies depression scale is a way of measuring depression for mental health professionals. It consists of 20 self-report items that measure sadness, fatigue, sleep, appetite, and concentration. It has been evaluated on various groups consisting of different cultural and gender backgrounds, and it can also be used for age groups starting from 6 to older adults.
Wellness Questionnaire

Wellness Questionnaire

The wellness questionnaire is a way of assessing individuals' overall health and well-being that can be used by healthcare providers and employers who want to assess the wellness of newly hired employees. By gathering these types of data, you can create awareness of individuals' health, and you can take action before anything serious happens.
Psychiatric Evaluation Form

Psychiatric Evaluation Form

If you are a mental health professional, you can use this free psychiatric evaluation form to get a psychiatric evaluation of your patients. You can customize this ready-made psychiatric evaluation form, change or add questions, and create your own evaluation form on forms.app in just a few minutes.
Psychological Assessment Form

Psychological Assessment Form

Whether you are a psychiatrist or psychologist, you can use this free psychological assessment form template to create your own form and collect patient data. Once your form is ready, share it directly or embed it on your website to collect responses.
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Frequently asked questions about Medical History Forms?

Creating online forms and surveys is much easier than ever before. Without needing to code a single line, you can simply create forms or surveys and customize its fields, design, and general options with just a few clicks through forms.app’s intuitive form builder interface. After that, you can share using one or more of many sharing options and start collecting responses immediately. 

Powerful features: 

  • Conditional logic 
  • Create forms with ease
  • Calculator for exams and quote forms
  • Geolocation restriction
  • Real-time data
  • Detailed design customization

Forms and surveys that are created on forms.app can be easily integrated with many third-party applications via Zapier. You can integrate with more than 500 third-party applications such as Slack, MailChimp, and Pipedrive. For example, you can create contacts on MailChimp and send notifications to a specific Slack channel per submission you received through your forms.

It is alright if you don’t want to put in more time to create a form from scratch. Jumpstart with one of many ready-to-use templates and get to the work of collecting responses without bothering yourself at all. If you would like to, you can customize your template’s form fields, design and adjust general form settings.

You can share your forms in any way you like. If you want to share your form and collect responses through your form’s unique link, you can simply adjust privacy settings and copy-paste your form link anywhere. And if you would like to embed your form in your website, you can easily copy and paste embed code in your website HTML.

On forms.app, you can customize your form’s theme and design elements in depth. Once you switch to the ‘Design’ tab after getting your form done, you will see many different design customization options. You can change your form theme by choosing your own colors or picking one of many ready-made themes. 

 

What is a medical history form?

A medical history form is an online document that collects the necessary information about a patient before diagnosing and treating their illness. Questions such as the patient's age, weight, height, and past illnesses are usually asked in form fields. Therefore, it is a form that is clearly needed in every health institution.

What are the steps to build a medical history form on forms.app?

There is no such thing as a must-do list because you can customize your form the way you want. After selecting the template, you can delete the fields you wish to or add new ones. The following steps show the process followed when creating a form in general:

  1. Log into your forms.app account
  2. Edit your form on the Edit page
  3. Customize the form design on the Design page
  4. Adjust the settings on the Settings page
  5. Choose the best option for you to share on the Share page

How to track medical history of a patient

After you create your form and send it to your patients to fill in, you will receive form submissions. You can see these submissions by selecting your form from my forms page after logging into your forms.app account. You can track your patient's medical history information on the Results page.