The Digital Medical History Form

Streamline patient intake and collect better health history data

With digital medical history forms, patients can easily enter and submit their health history details from their phone or tablet, or online from a computer.

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A medical history form being filled out on a laptop

Post links to medical history forms from your website

Post links to your digital and online medical history forms for patients to easily access and complete prior to their appointment.

Screenshot of links to patient registration and medical history forms on a medical practice website.
A digital patient intake form shown on a tablet.

Streamline and accelerate patient intake

Digital medical history data can be collected, reviewed and processed in real-time – accelerating patient intake and reducing administrative demands.

Instantly route medical history forms to providers, patients, and platforms

Completed medical history forms can be automatically emailed to healthcare providers, patients, and administrators, and uploaded to connected platforms (like Box, Salesforce, and more).

A medical history questionnaire shown on a tablet next to depiction of an automated email sent after completion of the questionnaire.

Want to use this form?

To have the Medical History template added to your account please contact GoFormz Support

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An electronic signature being applied to a digital form on a tablet.

Capture patient signatures electronically

Digital healthcare forms empower your operation to collect and reference patient signatures digitally. Your digital signatures can even be made required.
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The GoFormz HIPAA-Secure Edition

With the GoFormz HIPAA-Secure edition, medical history forms can be securely completed from anywhere.
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A digital patient registration form on a smartphone next to a HIPAA badge denoting GoFormz is HIPAA-certified.
Workflow steps showing the lifecycle of a fillable form. When the form is completed, it is automatically routed to an email alert.

Access your forms and data in real-time

Completed forms can be instantly reviewed and processed, and even automatically shared with teammates, customers, and more.

Healthcare + GoFormz Success Stories

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