Health Tracking Forms

63 Templates

Medical History Form

A medical history form is a questionnaire used by health care providers to collect information about the patient’s medical history during a medical or physical examination.

Healthcare Forms

Medication List

A medication list template is a document used by a medical professional to track all the medications that a patient is taking.

Healthcare Forms

Doctor Note Form

A doctor's note form is a document written by a doctor stating the patient is too sick to go to work or school.

Healthcare Forms

COVID 19 Patient Screening Questionnaire

A COVID-19 patient screening questionnaire is used by medical practitioners to ask patients about their family and medical history.

Coronavirus Response Forms

Dental Office COVID 19 Prescreening Form

A dental office COVID-19 screening form is used by dental offices to register patients for the COVID-19 vaccine. This free online COVID-19 Prescreening Form template is ideal for dental offices.

Healthcare Forms

Monthly Drug Inventory Form

A monthly drug inventory form is a record of the inventory of a business or organization, used to keep track of assets.

Health Tracking Forms

COVID 19 Testing Hospital Discharge Form

A COVID-19 testing hospital discharge form is used by hospitals to track the status of patients after receiving the COVID-19 vaccine.

Coronavirus Response Forms

Eye Prescription Form

An eye prescription form is a form template designed to help eye doctors record and refer to their patients' prescription information

Health Tracking Forms

 Mental Health Journal Template

A mental health journal template is a document that can be used by patients to keep an online record of their mental health progress or daily experiences.

Health Tracking Forms

Covid 19 Acknowledgement

A Covid-19 Acknowledgement is used by medical professionals to acknowledge patients that have consented to the Covid-19 vaccine. This Covid-19 Acknowledgement form can be customized to fit your medical practice’s branding.

Healthcare Forms

TB Skin Test Results Form

A TB skin test results form gathers the results of a skin testing procedure to determine tuberculosis infection.

Healthcare Forms

Medication Record Form

A Medication Record Form is a form template designed to track how often patients fill their prescriptions and which medications they are taking.

Healthcare Forms

Daily Health Monitoring Sheet

A daily health monitoring sheet is used by companies to track the health conditions and progress of their employees.

Healthcare Forms

Weight And Measurement Tracking

This simple and easy to use form allows you to track your weight and measurements

Healthcare Forms

Migraine Diary Form

A migraine diary form is given to migraine sufferers to record the signs and symptoms of their migraine attacks.

Tracking Forms

Dermal Filler Treatment Record Form

Get the clients’ treatment record information with a Dermal Filler Treatment Record Form easily after applying any procedures. Keep organized all the time. No coding required.

Dermal Filler Forms

Weight Loss Intake Form

A weight loss intake form is a tool used by medical professionals to collect vital information from new patients regarding their health, treatment needs, and weight loss goals.

Healthcare Forms

Weight Tracker Form

An online weight tracker is used by individuals to manage their weight and keep up with the changes in their bodies.

Health Tracking Forms

PRP Consent Form

A PRP consent form is a medical document that patients fill out to provide their consent for preparing a platelet-rich plasma (PRP) for their treatment. If you want to use the PRP consent form to keep sensitive patient health information protected, you can use Jotform’s HIPAA friendly features.

Healthcare Forms

Medication Reconciliation Form

A medication reconciliation form is a document that is used to organize the medications that a patient is taking.

Healthcare Forms

Health Profile Form 

A health profile form is a questionnaire used by doctors and other medical providers to get an overview of the general health of their patients.

Healthcare Forms

Mental Health Progress Notes Form

A Mental Health Progress Notes Form is a record of mental health therapy for physicians or mental health counselors.

Healthcare Forms

Personal Hygiene Checklist Form

A personal hygiene checklist is a form that lists suggestions and guidelines for managing personal hygiene.

Tracking Forms

COVID 19 SYMPTOM CHECKLIST

A COVID-19 Symptom Checklist is used by medical practices to help patients diagnose themselves. No coding!

Healthcare Forms

About Health Tracking Forms

Are you a nutritionist looking for an easy way to track your clients’ health? Or maybe you’re wondering how to track your own personal health and wellness journey. Either way, Jotform’s Health Tracking Form is the helpful form for you. This fully customizable health form can help you track and analyze health data in one centralized place. Track your or your client’s workouts, meals, moods and even add a form field for daily journal entries.

Customizing your Health Tracking Form is seamless with Jotform’s drag-and-drop form builder — no coding knowledge needed. You can personalize design elements like font, background color, text color, and images. Then you can share your form by embedding it in your own website or by sending the link directly to your patients. Prioritize health with Jotform today.