Medical Chart Template

A medical chart is used to record medical information for patients such as contact details, prescriptions, medical history, and more. With this professional Medical Chart Template, you can easily record and manage patient information and supporting documents for your medical practice online! Just fill out the attached form with patient information, enter your information manually, or set up a medical intake form so that your patients can fill out their medical history on any device. Every form submissions will update the spreadsheet automatically.

Jotform lets you opt for HIPAA friendly plans that offer a signed Business Associate Agreement (BAA), so you can have an easier time keeping your patients’ health data safe. You can also customize this Medical Chart Template by adding new rows, columns, and tabs, updating label names and colors, and even connecting the form with 100+ apps to automatically sync data to your other accounts! Expertly manage patient data online with Jotform’s Medical Chart Template — available in spreadsheet, calendar, or card view.