discount

केवल सीमित समय के लिए ब्लैक फ्राइडे सेल के लिए वार्षिक भुगतान योजनाओं पर 65% तक की छूट है। ⏰

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Free Online Medical History Form Templates

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.

Medical History Forms

Form templates: 51
Medical Consent Form Template

Medical Consent Form Template

Telemental Health Consent Form Template

Telemental Health Consent Form Template

Patient Intake Form

Patient Intake Form

Medical Intake Form

Medical Intake Form

Mental Health Intake Form

Mental Health Intake Form

Permission to Treat Form

Permission to Treat Form

Medical History Form

Medical History Form

Medicare Enrollment Form

Medicare Enrollment Form

New Patient Enrollment Form

New Patient Enrollment Form

Chiropractic Intake Form

Chiropractic Intake Form

Immunization Record Request Form

Immunization Record Request Form

Pet Insurance Claim Form

Pet Insurance Claim Form

Child Health Survey

Child Health Survey

Children’s Nutrition Questionnaire

Children’s Nutrition Questionnaire

Depression Questionnaire

Depression Questionnaire

Food Preferences Questionnaire

Food Preferences Questionnaire

Health Survey

Health Survey

Healthy Eating Questionnaire

Healthy Eating Questionnaire

Hospital Patient Satisfaction Survey

Hospital Patient Satisfaction Survey

Mental Health Survey

Mental Health Survey

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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.

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.