Simple Medical History Template
Every doctor wants to know their patients' medical histories. If you want to collect the medical history information and record these data as a pdf, JotForm will help you! First of all, you can use this medical history form template for gathering your patients' information for instance name, birth date, gender, height, weight, email, their drug allergies, illnesses, operations, medications, healthy & unhealthy habits such as a frequency of exercise, a frequency of alcohol consumption, a frequency of caffeine consumption and a frequency of smoking.
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.
Collect your online responses with JotForm and turn them into professional, elegant PDFs automatically.