Join us and stand with the people of Ukraine
Donate now

Medical History Template


(4.5 / 5) 73 votes
Medical History Template - Thumbnail

Get your Medical History Template in 3 easy steps

  • 01 Fill and edit template
  • 02 Sign it online
  • 03 Export or print immediately

What is Medical History Template?

The medical history form templates are widely used by hospitals and doctors to find and keep information about the patients they have. Each form contains the history of the person’s disease and health. It is highly important to document every health change to keep up with the updated data on the patient.

Using the former information gathered previously on the patient and the current data received from the analysis you can record the changes and make sure that you signed the proper treatment. Any standard template for medical history form usually includes information on the allergies, medication the patient took, past treatment, past diseases, and even medical abstracts. The template can be filled with information on the relatives’ disease that can be spread to the person.

Each hospital has its own database with medical history templates. If the patient decides to move to another hospital or search for another doctor, he/she can ask for the template. It is better to use an online catalog to escape routine work by searching for the files you need.

What I need the Medical History Template for?

  • As a doctor, you need a medical history template form to make sure that your patient is observed and treated properly. If you don’t keep a record of the allergies you may sign the treatment that will cause an allergic reaction. You have to share detailed information on every visit made by the patient;
  • As a representative of the hospital, you need a medical history form template to keep track of the patients that are currently observed in the hospital. You can use the form as proof of the treatment in court;
  • As a patient, you need the form to check out your health improvements, the treatment that was provided, and the quality of the signed prescriptions.

Medical History Template on PDFLiner

How to Fill Out Medical History Template?

There is nothing complicated in template medical history. You can create it on your own as the representative of the hospital or as a doctor. Make sure that it matches the main goals your clinic has and looks similar to the templates other doctors use. It is better to have one standard template for the patient. You can use the online form for this. It is better to keep the records on your computer to make sure that the hospital can send you anything you need on your demand. PDFLiner offers you templates for medical history which you can use. Provide the following information in the form:

  1. Include the data on the patient at the beginning of the document. Provide the name, age, and even nickname if you need it;
  2. Provide the name of the physician who currently works with the patient and the specialty;
  3. Name the date of the last physical examination and its purpose;
  4. Let the patient choose the estimate of the general health, picking the matching box to put a tick there;
  5. Let the patient answer the questions about the former injuries, allergies, problems with health, and past treatment;
  6. Share the information on the current treatment of the patient;
  7. Put the names of the drugs taken during the last two years and the purpose;
  8. Sign the template and let the patient sign it. Put the current date.

Fill Medical History Template on PDFLiner

Organizations that work with Medical History Template

  • Any medical establishment in the United States.

What people say

  • Fred Walters
    Now that I’ve switched from Word to PDFLiner, I save lots of time processing and digitally distributing tons of billing forms, work orders, forecast reports, and invoices. In addition to this, thanks to PDFLiner, we’ve significantly minimized our paper consumption. Excellent tool that helps me cope with my business workflow faster and easier.
  • Peter Scheffel
    Self-employed attorney
    PDFLiner allows me to streamline the processes of generating and managing legal documents, as well as collecting electronic signatures for all my contracts and agreements. I like that I can customize forms on the go and access PDFLiner from all my gadgets. No more printing or scanning! That’s just brilliant!
  • Lisa Matthews
    University student
    When you’re a student, you deal with PDFs a lot… Newsletters, various worksheets, official forms you need to fill in and sign, etc… To me, filling out a PDF form used to be among the trickiest and most time-consuming things ever. But then a friend of mine introduced me to PDFLiner, and oh my God, my life has changed since then. It’s easy to use and has so many great features. Just awesome, I love it!
Fillable online Medical History Template
(4.5 / 5) 73 votes
Please, wait...
We use unpersonalized cookies to keep our site working and collect statistics for marketing purposes. By continuing to use this site, you consent to this policy. Learn more