Medical History Templates

    Doctors and hospitals use a medical history of a patient to review his/her health history. It’s a very important part of their workflow to ensure they’re providing the best care and treatment. A patient’s medical history may include details about past diseases, illnesses running in the family, previous diagnoses, medical abstract, therapies, allergies, and medication. Yes, this is not the whole picture but with the help of a detailed medical history, doctors can see health patterns of patients over time at a glance.

    Many hospitals rely on paper-based forms for this task. Others use online forms while some also use PDF forms. So, here’s a collection of PDF form templates that you can use as a starting point. There are a plethora of questions to be asked but what’s nice about using a template is the freedom to customize it. To top it all off, you get to start with beautiful and well-designed PDF templates, for free.

    Privacy is also a key point to consider. The Health Insurance Portability and Accountability Act of 1996 (or HIPAA) is a United States legislation that provides data privacy and security provisions for safeguarding medical information. The good news? JotForm is HIPAA-compliant and that’s a huge plus for anyone in the healthcare industry. So, aside from these PDF templates that were pre-built and designed for you, you also enjoy the advantages of using a platform that’s HIPAA-compliant.

    Simple Medical History

    Healthcare

    Once you have collected these medical data, you can record them as a pdf by using this medical history PDF template. In addition, you don't need to be worried about the safety of data, because our forms are HIPAA compliant.

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    Short Medical History

    Healthcare

    Medical History Record PDF template is mostly used in order to provide significant information about the health history, care requirements, and risk factors of the patient to doctors. It is for collecting data from the patients.

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    Patient Intake

    Healthcare

    Patient intake PDF template is easy for patients to fill out and designed to get the doctor the most important information. Patients can fill out their information on a computer or tablet using our patient intake pdf sample.

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    Professional Medical History

    Healthcare

    Medical History Record PDF template is here to help you in order to know the patient's case and previous condition. You can collect data about the patient and medical background with this Medical History Record PDF sample.

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    Patient Medical Record

    Healthcare

    Medical History Record PDF template lets you collect the patient's data such as personal information, contact information in an emergency case, general medical history. By using this sample, the doctor ensures the patient's better care and treatment.

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    Child Medical History

    Education

    This child medical history PDF template makes checking patients vitals and recording that important data easy. Add your own branding, adjust fields for your specific needs and then simply print out your PDF for the patient's file.

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    Employee Medical History

    Business

    Gathering your patients' medical information may be a troublesome task. But you can collect these medical data with this medical history form template and you can record these data easily as a pdf with this medical history PDF template that was created by us by using JotForm's new PDF editor.

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    Personal Medical History

    Healthcare

    Medical History Record PDF template allows you to collect patients' data such as personal information, family history, and habits like, and symptoms. You can pick your patients with this medical history record sample.

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    Patient Medical History

    Healthcare

    Through Medical History Record PDF template, patients provide their personal information needed to see the doctor. Thanks to this medical history record sample, the doctor knows about patients medical history.

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    Camper Health History

    Healthcare

    To protect campers’ health and safety, this Camper Health History PDF Template collects information about existing medical conditions, allergies, dietary restrictions, immunizations, medication instructions, and emergency contact numbers.

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    Pet Medication Chart

    Veterinary Service

    The pet medication chart template lets you monitor or track the medical history of a pet. It might take a lot of time design one from scratch, you can use this pet medical chart sample.

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    Disclaimer

    Noth­ing on this site is intended to estab­lish a physician-patient rela­tion­ship, to replace the ser­vices of a trained physi­cian or health care pro­fes­sional, or oth­er­wise to be a sub­sti­tute for pro­fes­sional med­ical advice, diag­no­sis, or treatment.