Comprehensive Atrial Fibrillation Screening Made Simple

Atrial fibrillation (AFib) affects millions of patients worldwide and significantly increases stroke risk when left undetected. This Atrial Fibrillation Screening Form is designed specifically for healthcare providers, clinics, and cardiology practices who need a structured approach to identifying high-risk patients and initiating appropriate care pathways.

Built for clinical efficiency and patient safety

This template walks through the complete AFib screening workflow—from initial patient demographics and risk factor assessment, through pulse palpation findings and symptom evaluation, to automated stroke risk calculation and cardiology consultation requests. The form uses conditional logic to guide clinicians through the appropriate assessment steps based on each patient's unique risk profile, ensuring nothing gets missed while keeping the process efficient.

Whether you're running a primary care practice, cardiovascular clinic, or community health screening program, this form helps standardize your AFib detection protocol and ensures high-risk patients are identified early and referred appropriately.

Streamline workflows with Paperform + Stepper

Once a patient completes screening, you can use Stepper to automatically route high-risk cases to cardiology, schedule follow-up ECGs, send patient education materials, update your EMR system, and notify care teams—all without manual data entry. This creates a complete screening-to-referral pipeline that improves patient outcomes while reducing administrative burden on your clinical staff.

With Paperform's calculation fields and conditional logic, you can even build in CHA₂DS₂-VASc score calculation to help clinicians quickly assess stroke risk and make informed decisions about anticoagulation and specialist referral.

Trusted by healthcare providers who prioritize prevention

Paperform is trusted by over 500,000 teams worldwide and is SOC 2 Type II compliant with robust data security controls, making it suitable for healthcare practices that need professional, secure forms for patient assessment and care coordination. While Paperform is not HIPAA compliant, it offers the flexibility, automation, and integration capabilities that modern healthcare teams need to deliver efficient, patient-centered care.