Medical History Form

Streamline the patient registration process and save time both for patients and administrative staff by taking your patient medical history forms online. The Medical History Form Template from Formsite makes it easy to gather health history from new patients and update medical records for current patients. This user-friendly online form can be accessed from any device, so patients have the ability to complete their medical forms online before their appointment, or even on a tablet in the waiting room. Administrative staff is notified as soon as a new form has been submitted and form data can be exported to sync with office medical information software. It is a quick and efficient way to make sure your medical charts are up-to-date with each patient’s medical history.

The Medical History Form Template is simple to customize for any hospital or practice. Add or modify form fields on the medical history template to collect the information that you need. Form fields can include things like patient contact information, emergency contact phone number, family medical history, personal medical history, prior medical care, allergic reactions, blood pressure concerns, health insurance, and more. HIPAA compliance options are available to protect patient information.