Make your Free Medical History Form

A Medical History Form is a document that outlines a patient’s health. A typical medical history form identifies any medical conditions, diagnoses, and health patterns of a patient.  A medical history form is usually filled out when a new patient is admitted to a hospital or doctor’s office for treatment and is used to provide the attending health care provider with a patient’s medical history.

Use the Medical History Form document if: 

• You would like to create a file for a new patient
• You would like to have a record of past diagnoses
• You would like to enable COVID-19 contract tracing