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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.
54 templates are listed in this category
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
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!
Medical Consent Form Template
A medical consent form is used for crucial medical decisions, and it includes important details about the patient’s health. Whether the patient is of legal age or a minor child, you can easily obtain informed consent for health care operations by using forms.app’s free medical consent form template.
Telemental Health Consent Form Template
A telemental health consent form is used to inform clients about telehealth practices and collect informed consent. Thanks to online forms, your clients can easily give consent anywhere. With forms.app’s telemental health consent form template, collecting consents will take less than a minute.
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!
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.
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
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.
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.
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.
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!
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.
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.
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 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
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 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!
Food Preferences Questionnaire
Food preferences are important for an individual's current and future health. Use online surveys to learn about your patient's food preferences and habits. Easily create your food preference questionnaire using our free survey template and make them aware of their food choices.
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!
Healthy Eating Questionnaire
Healthy eating questionnaires can be useful documents to help people evaluate and improve their diet and eating habits. Create your questionnaire with forms.app's free survey template and improve healthy eating habits!
Hospital Patient Satisfaction Survey
Hospitals and other healthcare facilities can use hospital patient satisfaction survey templates to get patient input on their experiences. The questionnaire asks about general satisfaction with care, the facility's comfort and cleanliness, the staff's communication and attention to detail, and the accessibility of facilities and services.
Mental Health Survey
Mental health surveys can help healthcare professionals make a diagnosis by assessing symptoms of common mental health conditions such as depression and anxiety. Create your survey to identify patient areas of concern and help individuals experiencing mental illness. Use the mental health survey template to create your survey professionally!
Occupational Health And Safety Questionnaire
The occupational health and safety (OHS) questionnaire is a method that businesses can use to assess the health and safety conditions in the workplace and identify any potential hazards or risks. You can include questions about the layout and design of the workplace and the use of personal protective equipment.
Personal Hygiene Survey
Personal hygiene is an important factor in maintaining health and well-being. Use personal hygiene surveys to assess the level of adherence to personal hygiene practices within a community or population. Try the free personal hygiene survey template now to create your survey for free!
Physical Fitness Survey
Physical fitness is a measure of an individual's overall health and well-being. Create your physical fitness survey to assess the current levels of physical fitness and general health of people in your target audience. Start using the physical fitness survey template for free to create a consistent and more professional survey structure.
Police Medical Questionnaire
The physical and emotional health of police personnel is evaluated using a police medical questionnaire template. Police departments and other law enforcement organizations often use it to make sure that officers are competent of carrying out their tasks in a safe and effective manner and that they are physically fit for duty.
Skin Care Questionnaire
A skin care questionnaire is an instrument for learning about a person's skin care requirements and preferences. Dermatologists, estheticians, and skin care companies can utilize it to comprehend the distinctive features of a person's skin and spot any possible issues or places for development in their skincare regimen. Thanks for the forms.app, you can create your questionnaire in no time.
Skin Care Survey
A skin care survey is a useful method for assessing people's requirements and preferences about their skin care regimen and products. Dermatologists, estheticians, and skin care companies can use it to learn about a person's skin type, issues, and existing skincare regimen. The best part is you do not need to worry about the complexity of forms.app, you can create your own survey in seconds!
Social Psychology Survey
You can use a social psychology survey to acquire information on human behavior and attitudes in social circumstances. This type of survey's objective is to collect data that can be examined and used to generate generalizations about the particular type of people being studied.
Skin Analysis Form
Skin specialists or individuals often use the skin analysis form. This form asks several skin questions to help you in skin analysis. You can use this form, designed to determine people’s skin structure, in a few steps without requiring a code.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:
- Log into your forms.app account
- Edit your form on the Edit page
- Customize the form design on the Design page
- Adjust the settings on the Settings page
- 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.