70+ Medical History Form Templates [Word, PDF]

The medical history form helps the doctor to know the patient’s health history. These health history form templates will help you to track the patient’s health condition. This medical form document contains information about the patient’s diagnoses, medical investigations, past diseases, etc. Any doctor needs the patient’s medical condition and background to proceed with the treatment.

A person’s medical history is an essential document for making some crucial decisions. You must have a document that contains your medical record, which is required for various purposes. Download your favorite free medical history form templates in Word or PDF in one click. A complete guide about medical history form is shared, which is very useful to understand it easily. 

Download Free Medical History Form Templates

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What Is A Medical History Form/Medical Chart?

A document that contains information about a person’s health is called a medical history form. Many decisions are based on a person’s medical history. It is one of the most important documents for medical treatment, procedure, and other legal issues. It contains the basic information of the person whose form is this, contact details, medical information, results of physical tests, and other information.

Medical history includes information about allergies like food, environment or product, previous disease, current illness, and a clear medication description. Your employers require a medical history form, insurance companies, judiciary, and medical research. If you visit a new doctor, he needs to view your medical history for effective treatment. You can ask for your medical history form from the hospital or clinic you have visited; they have medical history forms for each patient. You can find a vast collection of medical history forms for hospitals or clinics. You can see our fantastic selection of free, editable, and printable medical history form templates. 

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When We Need Medical History Form 

A medical history form is one of the most important medical documents that are always required for various purposes. In some situations, it works as proof and prevents you from many critical issues. Sometimes, in legal issues, the judiciary asks for your client’s medical history, and then you need a medical release form to access your client’s medical history. It may be a custody case, criminal and other injury cases in which the judiciary asks for your medical history, which may save you from punishment. It is the most important document in various judiciary cases.

Medical history forms an essential document to purchase an insurance policy; insurance agents ask for your medical history before giving an insurance policy. It is also very helpful for medical research. For medical research, they must study the patient’s medical history who suffers from specific medical issues or diseases. Employers want to access your medical history in case of any medical issues. They need a medical release or medical history form to know your medical situation in the past. If you want to visit a new consultant for a second opinion, a new doctor wants to know your medical history for effective treatment.

Component Of Medical History Form 

Below, we share every element of medical history, which helps you understand the medical history form format more clearly. 

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Patient’s information

First, the patient’s name, phone number, gender, age, and address are included in this portion of the medical history form. It is very important to mention the patient’s contact information so that he/she can be contacted with any legal or medical issues. 

Allergies

Provide details about patients’ allergies, such as food, product, or drug allergies. Describe the type of allergy and its reaction. It’s important to give information about your medical history when you visit a new consultant. 

Medication

Your medical history form should clearly describe the medication, including the dose and timing. 

Laboratory test history

Description of the type of test, date, provider name, and the result of the test is included in the medical history form.

Vaccination history

Information about the vaccination type with a date is described in this section.

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Surgeries

Please describe the type of surgery, the reason behind the surgery, and the date of it with its provider name.

About Disease

Information about your current disease, past disease, and medication with the consultant’s name.

Women medical history 

Details of the women’s medical condition are discussed in this date of the last menstrual cycle, the number of pregnancies, no. of live births, and complications during pregnancy.

Signature

The signature at the end of this document makes it an authentic medical document.

Different Medical History Forms

From our vast collection of medical history form templates, some of these areas are as follows:

Medical history forms for employees

Nowadays, employers ask for your medical history in case of any medical history. Medical history form templates for employees are used to fill your current and past medical situation in detail, which helps to give an effective treatment in case of any emergency. For many reasons, you can see here a vast collection of medical history form templates in Word or PDF, which helps save your medical history in required documents.

It must be written in an understandable way to prevent you from any complexities. Sometimes, employers want to know whether the person they are hiring is fit. For that purpose, they include it in the company’s recruitment process, which helps you prevent any future medical issues.

The patient’s medical history form

The hospital or clinic requires patient medical history forms to keep their medical records. It is helpful for further treatment if you visit a new consultant for a second opinion. They need a great collection of patient medical history form templates to save their patient’s medical history.

It is the best way to record it for the future. A portion containing the patient’s personal information, such as the patient’s name, address, phone number, email ID, and other details, is included. For the healthcare profession, saving every patient’s medical record by filing medical history forms is essential. Free medical history form templates for health care are also available in our vast collection of templates.

Dental, medical history form

Whenever you visit your dentist for any dental treatment, they fill out a form containing all of your current or past medical conditions helpful for future use. A dental and medical history form is an essential document that helps prevent legal or medical issues. Dental hospitals or clinics use dental and medical history forms as templates for effective treatment in the future.

Before any dental or medical procedure or treatment, they give you a paper called a consent form, which you sign after reading. It contains a method of treatment, its cost, drugs involved in this procedure, and all personal information. If you visit your dentist for a teeth whitening procedure, you will sign a teeth whitening consent form before treatment. See our complete guide for teeth whitening consent forms with the vast collection of templates. 

Personal medical history forms

When you create your medical history document, you need a personal medical history form template to deliver your medical history. A private medical history form is essential medical documentation required for many purposes. It contains your personal information, contact details, medication history, physician details, surgery details, current disease, past disease, and signature at the end of this document to make it legal. Free personal medical history forms are just one click away. These medical history form templates are available in Excel, Word, or PDF, whichever you prefer.

Child medical history form

Nowadays, children get sick because of bad weather or unhealthy food. They visit their doctor at least once a week. Child medical history forms are used to record your child’s medical situation. When children travel without their parents for school trips or events, they need the medical history of every child in case of any medical issue—download the free child medical history form in just one click. Child medical release form templates are also useful for accessing the child’s medical history in an emergency. Use free blank medical history form templates to save medical history records.

Family Medical History Form

Nowadays, it’s common to have some genetic health problems; you may face many health issues from which your parents and their parents suffer. Having a record of your medical situation with your parents and close relatives is essential. The family medical history form includes children’s, brothers’, sisters’, parents’, grandparents’, and cousins’ medical problems. You can see many common factors in a family because of their genes and the same environment. Common genetic diseases are high blood pressure, diabetes, heart disease, and cancer.

The best way to save a record of your medical situation is to fill out a medical history form. Instead of asking everyone in your family about the disease, make a family medical history form in which all the information about every person’s medical situation should be included. Ask for every close relative and parent their family medical history form to make a family medical history form is the best way to gather medical information from your family.

A family medical history form is one of the best ways to prevent any medical issues in your family. For that purpose, you need a family medical history form template to make a medical history of your whole family. Free family medical history form in Word or template is just one click from your access.

Who Should Include In Your Family Medical History Form 

Everyone knows about their genetic health issues. If anyone doesn’t know from which your family members suffer. Every family member’s medical history form is one of the best ways for it. Family members included in a family tree are :

  1. Parents 
  2. Grandparents
  3. Sisters
  4. Brothers
  5. Cousins
  6. Uncle and aunts
  7. Nieces and nephews

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