The Medical History Form is available as a free Starter Form Template to our HIPAA-secure edition subscribers. Please contact our Support Team to have this form shared with your account. 

Digital Medical History forms enable healthcare professionals to gather the information they need to best treat their patients.

Using the digital Medical History Form, healthcare providers can capture a patient’s complete medical history, to ensure they are receiving the best possible care. Leveraging digital forms to collect medical history data, healthcare professionals can access a patient’s input data in real-time, streamlining patient intake and resulting in time-savings that benefit both the practice and patient. 

The digital Medical History Form can be used to capture a variety of information, from past healthcare providers to their family’s medical history, allergies, symptoms, and current medication. With GoFormz, your digital Medical History Form can be easily equipped with Checkboxes, digital Signature boxes, Drop Down menus, and Text fields, allowing patients to easily and efficiently enter their medical history. Check out the Medical History Form below to explore more of its powerful digital features: 

Key digital Medical History form features: 

• Checkbox Groups - Checkbox Groups allow form creators to modify a collection of Checkbox fields, controlling whether or not more than one Checkbox can be selected, as well as how they are organized.

• Table fields - Including Table fields in your digital Medical History Form helps keep patient data organized, accurate and uniform. 

• Text fields - Allow patients to enter additional information regarding symptoms, their family’s medical history, and more, using Text fields.

• Conditional Logic - Add Conditional Logic to your form fields and dynamically show, hide, highlight, or require a field’s completion, based on a number of conditions, such as the identity of the person viewing the form and the values placed in other form fields. Leveraging Conditional Logic can help improve the completeness of patient data (e.g. via Required fields) and streamline data entry. 

• Signature fields - If necessary, capture a patient or guardian’s authorization using digital Signature boxes. Digital Signatures can be rapidly captured and easily referenced, anytime, anywhere. 

• Date fields - With a few simple ‘taps’, easily input the dates of a Medical History Form’s completion, of past ailments or procedures, date of birth, and more, using the Date field. 

Digital healthcare forms not only enable your operation to collect more thorough, complete patient records, but also help to protect your practice from risk by ensuring patient data is current and comprehensive. To learn more about digital forms for healthcare, check out our HIPAA-compliance overview page, or click here to learn more about our HIPAA-secure edition.