Medical History Form

Easily send and receive your medical history form online. Send patients your medical history form to fill out on their phone, tablet, or computer. Patients securely sign and submit completed forms directly to your account. Track your patient’s progress, send automated reminders, and receive completed medical history forms online.

Medical History Form

Medical Health History Form Template

Give your patients the freedom to complete medical history forms with any device, anywhere. Streamline the way you collect signatures and health history forms by setting up your form online. Easily personalize this medical history form template with a HIPAA compliant form builder.

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More Online Medical Forms

Streamline your medical forms. Automate your paperwork. Start saving time and money.

Medical Consent Form
Medical Consent Form

Easily have clients complete your medical consent form with their phone, tablet, or computer. Make it easy for clients to complete your forms online.

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Medical Release Form
Medical Release Form

Turn your paper medical release forms into online forms. Streamline your forms by removing the paperwork. Easily collect medical release forms from your patients with any device, anywhere.

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Medical Consent Form for Child
Medical Consent Form for Child

Have parents and guardians electronically sign medical consent forms for children. Parents and guardians can easily sign from their phone, tablet, or computer.

View Medical Consent Form for Child »

What is the Medical History Form?

A medical history form is used to disclose a patient’s past medical details to healthcare providers, physicians, and dentists.

The purpose of the medical history form is to show the physician important information regarding the patient’s health. The information entered on this form will determine care requirements and the risk factors for that patient. Medical history forms can vary depending on the physician’s treatments, and therapists have forms with extensive questioning on psychiatric health issues.

It is also important to include medical history milestones including; surgeries, tests or treatments, that the patient may have received. Collect accurate dates of these events and any details that the patient is able to provide with the medical history form.

The history form can easily be the largest form that is given to the patient. These forms are best sent to patients before the appointment, so they may have more time to fill out and not feel pressured to complete during their visit. Send medical health history forms online and give your patients the freedom to complete your form with any device, anywhere.

Why Online Medical History Forms?

Setup your history forms online and streamline your process of collecting medical history from patients.
Form Required Fields
Required Form Fields

Always get the medical history you need with required fields. Patients can only submit when they complete all of your required fields. Never receive an incomplete medical history form again.

Required Form Fields »

Multi-Step Form
Form Packets

Group multiple forms together in an online form packet. Have your patients fill out their medical history, consent to treat, and demographics all in one new patient form packet.

Form Packets»

Sign Forms Online
Sign Forms Online

Collect electronic patient signatures before the appointment. Easily give your patients the ability to digitally sign their medical history forms with their phone, tablet, or computer.

Sign Forms Online »

HIPAA Compliant Online Forms
HIPAA Compliant Online Forms

Emailing medical history forms online risks the interception of PHI. FormDr is HIPAA compliant, all patient data is encrypted in transit and rest. A Business Associate Agreement is included with our service.

HIPAA Compliant Online Forms »

Online Form Submissions
Online Form Submissions

Patients sign and submit medical history forms securely to your online account. Review and manage completed new patient forms before the appointment.

Online Form Submissions »

Conditional Logic Forms
Conditional Logic Forms

Only show questions that are relevant to the patient with conditional logic forms. Make it simple for your patients to complete medical history forms and improve the accuracy of the data you receive with conditional logic.

Conditional Logic Forms »

Book a Free Consultation

FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who:

  • Are having patients fill out paper forms during the appointment
  • Are spending time manually printing and scanning paper forms
  • Are having patients fill out a PDF/Word Doc and send it back

Schedule a consultation with us to learn more.