Personal Medical History Template

The Personal Medical History Form from Formester is a free, customizable template designed to help healthcare providers, clinics, or individual practitioners gather essential medical information from patients. This form is perfect for creating a comprehensive record of a patient's past medical conditions, allergies, surgeries, and current medications, ensuring that healthcare providers have the necessary details to offer the best care possible.

With the Form Builder, you can easily tailor the form to match your practice's specific needs. The intuitive Drag-and-Drop Form Builder lets you add or remove fields, ensuring you capture only the most relevant information for your patients. Plus, the form is fully customizable, so you can modify it to include additional sections or questions specific to your medical practice.

Security is a top priority with Formester. This form is equipped with Spam Protection and Email Verification to keep your data safe from fraudulent submissions. Additionally, if you need legally binding consent or authorization, you can easily add an Electronic Signature field to the form.

To make the form even more accessible, you can embed it directly on your website using the Embed Forms feature or share it via a direct link. For healthcare providers dealing with patients who speak different languages, the Multi-Language Form Translations feature allows you to create multilingual forms, making it easier for a diverse group of patients to fill out the form.

With Save and Continue, patients can start filling out the form and come back to complete it later, which is particularly useful for longer forms. Formester makes it easy to collect and manage personal medical histories, ensuring both ease of use and security.