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

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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.

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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.

Book a Free Consultation

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

  • Are having patients fill out paper medical history 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

Call us to learn more (800) 578-4202

Why Online Medical History Forms?

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

Require Fields

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

Form Tabs

Combine multiple pages into a single form. Have your patients fill out their medical history, sign consent, and record release authorizations all in one medical intake form.

Electronic Signatures

Have patients electronically sign their names online. Patients easily sign your medical history form with their phone, tablet, or computer. Collect patient signatures online from any device, anywhere.

Autocomplete Fields

Have your patient enter information once and have it autocomplete throughout your medical history form. Automatically populate data into fields and paragraphs of authorization text.

Card Photos

Have your patient take a picture of their insurance, ID, or credit card. Your patients will automatically upload a photo of their information, so you can verify it before the appointment.

HIPAA Compliant

Emailing medical history forms 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.

Book a Free Consultation

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

  • Are having patients fill out paper medical history 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

Call us to learn more (800) 578-4202