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Health Tracking Forms

48 Templates

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.

Medical History Form

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

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
Dental Office COVID 19 Prescreening Form

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
Covid 19 Acknowledgement

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
Medication Record Form

Medication Record Form

A medication record form is used by pharmacies to track how often patients fill their prescriptions and which medications they are taking. No coding is required.

Healthcare Forms
Weight and Measurement Tracking

Weight and Measurement Tracking

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

Healthcare Forms
 Mental Health Journal Template

 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
Migraine Diary Form

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

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
COVID 19 SYMPTOM CHECKLIST

COVID-19 SYMPTOM CHECKLIST

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

Healthcare Forms
Weight Tracker Form

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
Medication Reconciliation Form

Medication Reconciliation Form

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

Healthcare Forms
TB Skin Test Results Form

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
Personal Hygiene Checklist Form

Personal Hygiene Checklist Form

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

Tracking Forms
Botulinum Toxin Treatment Record Form

Botulinum Toxin Treatment Record Form

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

Botulinum Toxin Forms
Cholesterol Screening Form

Cholesterol Screening Form

A cholesterol screening form is used by medical practitioners to collect patient information and medical data about cholesterol levels.

Telehealth Forms
Blood Pressure Log Form

Blood Pressure Log Form

With this free Blood Pressure Log Form, track your patient’s blood pressure daily. No coding required.

Tracking Forms
Mental Health Progress Notes Form

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
Family Tree Development

Family Tree Development

A simple form to use while gathering information regarding family members for building a family tree.

Health Tracking Forms
Weight Loss Intake Form

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
Heart Rate Tracking Form

Heart Rate Tracking Form

Form where user can provide patient's demographic information and heart rate

Tracking Forms
Blood Sugar Tracking Form

Blood Sugar Tracking Form

A blood sugar tracking form is a form used to record blood sugar readings. No coding is required to use and customize this free template.

Healthcare Forms
PRP Consent Form

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 compliance.

Healthcare Forms
Medication Tracker Form

Medication Tracker Form

Track medication doses online. Free, easy-to-fill form template for prescriptions. Perfect for caretakers or personal use. Works on any device. No coding.

Healthcare Forms