Medical History Form Template

Easily and securely collect medical history information from your patients with this beautiful form template. Click the button "Use this template" below to import the template into your Paperform account and start customizing it.

Medical history forms are crucial for the work of every healthcare organization. Traditionally, these forms have been provided in the paper form — which often leads to the information being lost or recorded inaccurately. Collecting the medical history information from your patients through an online form, on the other hand, has many advantages.

First of all, it's more convenient for your patients. They can fill out the form at their own pace before visiting the hospital. Secondly, it's safer and guarantees that the information won't ever be lost. You can integrate Paperform with your internal database to match and synchronize all the records with patients' profiles.

Finally, online medical history forms are more fun to fill out and feel more personal. You can use conditional logic to make certain questions or question groups appear/disappear based on your responders' answers — a huge time-saver, especially when working through a longer form.

In the After Submission settings of your form editor, you can set up automated emails to be sent out after the form is submitted. For example, you might send your responders a PDF copy of their medical history, or provide them with more information about their upcoming medical visit.