By type

By role

Need something specific?

Just tell us and get a custom template for free.

Create with AI

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

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!
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.
Request to Amend Protected Health Information

Request to Amend Protected Health Information

Make your gathering data process easy with forms.app. Open this request to amend the protected health information template and quickly collect the patient documents and information. Share it online by choosing one of the various options and track your outcomes. Click the “Use Template” button and start creating your form.
Sports Player Profile Form

Sports Player Profile Form

As a sports coach, use this sports player profile form to gather players' personal details and medical history. You can edit this free sports player profile form with many themes and edit its questions depending on your needs. All you have to do is click the “Use Template” button.
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!
Health Checklist Form

Health Checklist Form

A health checklist form is a curial template primarily used for tracking, monitoring, and checking one’s health. This kind of checklist improves physical health for everyone, whether you are a medical professional, a healthcare provider, or a regular person. Just click the “Use Template” and start using it!
Patient Exit Survey

Patient Exit Survey

As a healthcare provider, it is essential to collect general information from your patients. You can easily administer this free patient exit survey template to your patients at your medical institutions. All you have to do is click the ‘‘Use Template’’ button and start creating your own survey.
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.
Online Medical Questionnaire

Online Medical Questionnaire

This free online medical questionnaire template allows potential patients to flag their symptoms or talk about disease symptoms. The online medical questionnaire makes the process easier by giving the patient a list of likely symptoms. Just click the “Use Template” button to get started.
Cosmetic Surgery Survey

Cosmetic Surgery Survey

As a cosmetic surgery center owner, you can quickly get comments and information from the patients with this free cosmetic surgery survey template. All you have to do is change the questions in the ready-made form and add new questions. Click the ‘‘Use Template’’ button and start using it.
Client History Form

Client History Form

Do you know that you can obtain information about patients before they come to be examined? Doctors and nurses can learn about patients' past illnesses online thanks to the client history form template. To create a client history form, register on forms.app without wasting time!
Sleeping Disorders Survey

Sleeping Disorders Survey

Do you want to dig deeper into the causes of sleep disorders? Thanks to the questions in the sleeping disorders survey template, you can get information about people's sleep disorders. If you want to create your own survey without any coding knowledge, use forms.app now!
Dreams & Nightmares Survey

Dreams & Nightmares Survey

Do you want to see what effect dreams and nightmares have on people? With the dreams & nightmares survey template, you can find out what kind of visions people see in their daily lives and their effects. Register on forms.app to create your own form now!
Sleep Deprivation Survey

Sleep Deprivation Survey

Do you know how sleep deprivation can cause problems in a person's life? You can understand whether you have a sleep problem by using the questions in the sleep deprivation survey template. Register on forms.app now to create customized surveys!
Sleeping Habits Survey

Sleeping Habits Survey

Would you like to learn the sleep habits of your patients faster? Thanks to the questions in the sleeping habits survey template, you can collect information about your patient's sleep habits before they come to you for treatment. Use forms.app to create surveys in seconds; no code is required!
Child Care Observation Form

Child Care Observation Form

Would you like to follow your children's development in a more organized way? By using the questions in the child care observation form template, childcare providers can provide families with more information about children. Create your own form without the need for coding knowledge by registering on forms.app!
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!
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.
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.
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.
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.
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!
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.
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!
Skin Analysis Form

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.
Social Psychology Survey

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 Care Survey

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!
Skin Care Questionnaire

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.
Police Medical Questionnaire

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.
Physical Fitness Survey

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.
Sebelumnya
Berikutnya

Frequently asked questions about Medical History Forms?

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.

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

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.