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SurveyMonkey is built to handle every use case and need. Explore our product to learn how SurveyMonkey can work for you.

Get data-driven insights from a global leader in online surveys.

Explore core features and advanced tools in one powerful platform.

Build and customize online forms to collect info and payments.

Integrate with 100+ apps and plug-ins to get more done.

Purpose-built solutions for all of your market research needs.

Create better surveys and spot insights quickly with built-in AI.

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Measure customer satisfaction and loyalty for your business.

Learn what makes customers happy and turn them into advocates.

Get actionable insights to improve the user experience.

Collect contact information from prospects, invitees, and more.

Easily collect and track RSVPs for your next event.

Find out what attendees want so that you can improve your next event.

Uncover insights to boost engagement and drive better results.

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Learn how students rate the course material and its presentation.

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Medical History Form Template

Gather accurate and complete medical records with our expertly crafted Medical History Form Template.

SurveyMonkey is rated 4.5 out of 5 from 18,000+ reviews on G2.com

Our Medical History Form Template is designed to streamline the process of collecting comprehensive and accurate health information from patients. Doctors, clinics, hospitals, and other healthcare providers can use this form template to efficiently and accurately gather the necessary medical history details, improving the quality of care and treatment provided to patients.

Medical history form templates collect detailed health information from patients to assist healthcare providers in making informed medical decisions.

Easily customize the template to include fields for patient names, contact details, medical conditions, current medications, allergies, surgical history, and family medical history. Distribute the form via email, your website, or during patient visits. Once the form is completed, the data is collected and stored securely, ensuring compliance with privacy regulations.

  • Standardize the collection of medical history
  • Facilitate better patient care and treatment decisions
  • Improve efficiency in managing patient records

Medical history forms gather essential information necessary for providing comprehensive healthcare. Key form fields typically include:

  • Name and contact details of the patient
  • Patient’s current and past medical conditions
  • Medications is the patient currently taking
  • Allergies 
  • Surgical history 
  • Family medical history 
  • Lifestyle factors that might affect health (e.g., smoking, alcohol use)

You can customize the form to include any specific questions that match your healthcare facility’s needs.

Collect comprehensive and accurate patient health information with our form template. Get started now to enhance your patient intake process and improve overall patient care.

We have so many powerful features to help you launch surveys quickly, but here are our most popular ones for new users.

Out-of-the-box themes, accessible color palettes, custom fonts, branding, and more.

Collect survey responses via email, website, SMS, social media, QR codes, offline, and more.

Automatic results summaries, filters, custom dashboards, crosstab reports, text analysis, & more.

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Read about our customers, explore webinars, and get guides on collecting feedback in your industry.

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Get tips on how to create better surveys, hear the latest product news, or check out our research.

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Access tutorials on how features work, learn more about billing, and contact Customer Support.