---
title: Multiple Sclerosis Risk Assessment Form Template | Paperform
description: Professional MS risk assessment questionnaire for healthcare providers. Evaluate neurological symptoms, visual changes, and fatigue levels with integrated consultation scheduling.
url: "https://paperform.co/templates/multiple-sclerosis-risk-assessment-form"
type: static
generatedAt: "2026-03-28T00:44:34.993Z"
---

[← Back to free form templates](/templates/)    ![Multiple Sclerosis Risk Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/multiple-sclerosis-risk-assessment-form.png)
    [Preview](https://_preview.paperform.co/ai-template/multiple-sclerosis-risk-assessment-form) [Use this template for free](/create?ai-template=multiple-sclerosis-risk-assessment-form)    [Surveys & Questionnaires](/templates/category/surveys/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Mental Health](/templates/industry/mental-health/) [Physician](/templates/role/physician/)[Nurse](/templates/role/nurse/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
Multiple sclerosis (MS) is a complex neurological condition that requires careful evaluation and timely intervention. This **Multiple Sclerosis Risk Assessment Form** helps healthcare providers, neurology clinics, and medical practices conduct thorough preliminary screenings for patients experiencing potential MS symptoms.

Built with Paperform, this template streamlines the patient intake process by gathering detailed information about neurological symptoms, visual disturbances, fatigue patterns, and medical history in a single, user-friendly form. The conditional logic ensures patients only answer relevant follow-up questions based on their initial responses, creating a personalized assessment experience that respects their time while capturing comprehensive clinical data.

Healthcare professionals can use this form to identify patients who may benefit from further neurological evaluation, prioritize urgent cases, and seamlessly schedule consultations directly within the form. The integrated appointment scheduling feature eliminates the back-and-forth typically required to book neurology appointments, improving patient experience and reducing administrative burden.

For neurology practices and MS specialty clinics, this form serves as an efficient pre-consultation tool that provides physicians with detailed symptom profiles before the first appointment. This enables more productive consultations and faster diagnostic pathways. The form can be embedded on your practice website, shared via email campaigns, or sent to referred patients to begin the assessment process immediately.

Paperform's HIPAA-alternative compliance features, secure data handling, and integration capabilities with practice management systems make it an ideal solution for healthcare providers seeking to modernize their patient assessment workflows. Connect submissions to your EHR system, send automatic confirmation emails with pre-appointment instructions, or use **Stepper** to trigger follow-up workflows based on symptom severity scores.

This template is designed for neurologists, MS specialists, general practitioners conducting preliminary screenings, and healthcare organizations committed to improving early detection and patient care pathways for multiple sclerosis.
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