Healthcare Form Templates
Browse 32 ready-to-use healthcare form templates. Preview every field below, then customize for your practice in minutes.
Intake Templates
16 templatesNew Patient Intake Form
Comprehensive intake form with demographics, insurance, medical history, and consent. The most popular template for primary care, specialty clinics, and multi-provider practices.
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Mental Health Intake Form
Specialized intake for behavioral health and therapy practices. Includes mood assessment (PHQ-9/GAD-7 style), treatment history, substance use screening, safety assessment, and therapy goals.
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Pediatric Intake Form
Child-specific intake form with developmental milestones, immunization records, birth history, school information, and parent/guardian details. Designed for pediatric and family medicine practices.
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Dental Patient Intake Form
Dental-specific intake covering oral health history, dental anxiety assessment, previous dental work, TMJ symptoms, and dental insurance verification. For general dentistry, orthodontics, and oral surgery.
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Physical Therapy Intake Form
PT-specific intake with injury mechanism, pain assessment (VAS scale), functional limitations, range of motion goals, and treatment expectations. For physical therapy, sports medicine, and rehabilitation clinics.
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Chiropractic Intake Form
Chiropractic-specific intake covering spinal complaints, pain patterns, lifestyle factors, previous chiropractic care, and X-ray/imaging history. Built for chiropractic and wellness practices.
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Dermatology Intake Form
Dermatology-specific intake with skin concern history, sun exposure assessment, skin cancer screening questions, cosmetic treatment history, and photo upload for lesion documentation.
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Ophthalmology Intake Form
Eye care intake form with vision history, current symptoms, eye surgery history, contact lens/glasses prescription, and family eye disease history. For ophthalmology and optometry practices.
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OB/GYN Intake Form
Obstetrics and gynecology intake with menstrual history, pregnancy history, contraceptive use, gynecological symptoms, and reproductive health screening. For OB/GYN and women's health practices.
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Orthopedics Intake Form
Orthopedic intake covering musculoskeletal complaints, injury mechanism, imaging history, joint function assessment, and surgical history. For orthopedic surgeons and sports medicine practices.
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Urgent Care Intake Form
Streamlined intake for urgent care and walk-in clinics. Captures chief complaint, symptom timeline, vitals triage, allergies, and current medications in a fast-paced single-page format.
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Sports Medicine Intake Form
Sports medicine intake with athletic history, sport-specific injury assessment, training regimen, concussion history, and return-to-play goals. For sports medicine and athletic training facilities.
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Allergy & Immunology Intake Form
Allergy and immunology intake with detailed allergy history, environmental triggers, reaction severity, immunodeficiency screening, and medication/immunotherapy history. For allergists and immunologists.
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Annual Wellness Visit Form
Pre-visit form for annual physicals and wellness exams. Covers health changes since last visit, preventive screenings due, vaccination history, and current health goals.
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Follow-Up Visit Form
Short pre-visit form for return patients. Captures treatment progress, symptom changes, medication updates, and new concerns since the last appointment.
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Insurance Verification Form
Collect insurance card photos (front and back), policy details, group number, and subscriber information. Enables pre-visit insurance verification to reduce claim denials.
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Medical History Templates
4 templatesMedical History Questionnaire
Detailed medical history form covering past conditions, current medications, allergies, surgical history, and family medical history. Essential for new patients and annual updates.
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Surgical History Form
Detailed surgical history documentation covering past procedures, anesthesia reactions, complications, implanted devices, and blood transfusion history. Critical for pre-operative planning.
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Family Medical History Form
Structured family history form covering hereditary conditions across first and second-degree relatives. Organized by condition category for genetic risk screening and preventive care planning.
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Medication Reconciliation Form
Structured medication list form with dosage, frequency, prescribing physician, pharmacy information, and adherence assessment. Essential for transitions of care and preventing medication errors.
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Consent Templates
7 templatesHIPAA Consent & Authorization
Standard HIPAA privacy notice with treatment consent, communication preferences, and authorization for use of protected health information. Required for all new patients under HIPAA regulations.
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Surgical Consent Form
Informed consent for surgical procedures including procedure description, risk acknowledgment, anesthesia consent, and e-signature capture. Required documentation for pre-operative workflows.
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Telehealth Consent Form
Consent for telehealth and virtual visit services. Covers technology requirements, privacy expectations, emergency protocols, and authorization for remote healthcare delivery.
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Anesthesia Consent Form
Dedicated anesthesia consent covering anesthesia type options, risk acknowledgment, fasting instructions, and pre-anesthesia health screening. For anesthesiology departments and surgical centers.
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Minor Treatment Consent Form
Parental/guardian consent for treatment of minors. Includes treatment authorization, emergency medical authorization, and designated responsible adults for pickup and decision-making.
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Research & Clinical Trial Consent
Informed consent for research participation covering study description, risks/benefits, voluntary participation, data use, and right to withdraw. Compliant with IRB and FDA requirements.
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Photo & Video Consent Form
Authorization for clinical photography and video recording. Covers purpose of documentation, usage rights, storage and retention, and patient right to revoke consent. For medical documentation and marketing.
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Screening Templates
5 templatesPHQ-9 Depression Screening
Standardized PHQ-9 depression screening questionnaire with scoring, severity interpretation, and clinical action recommendations. Validated screening tool used in primary care and behavioral health.
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GAD-7 Anxiety Screening
Standardized GAD-7 anxiety screening questionnaire with auto-scoring, severity levels, and clinical guidance. Validated tool for generalized anxiety disorder screening in clinical settings.
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Substance Use Screening (CAGE-AID)
Substance use screening based on CAGE-AID adapted for drugs and alcohol. Includes frequency assessment, impact evaluation, and readiness for change. For primary care and behavioral health screening.
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Fall Risk Screening Form
Fall risk assessment for older adults covering fall history, medication review, mobility assessment, environmental hazards, and fear of falling. Based on CDC STEADI protocol for fall prevention.
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Need a custom template?
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Why use healthcare form templates?
Healthcare form templates save your practice hours of setup time. Instead of building intake forms from scratch, start with a template that already includes the right fields for your specialty — from patient demographics and insurance capture to medical history checklists and e-signature consent.
Every Formisoft template is designed specifically for healthcare. That means HIPAA-ready field types, proper data handling for protected health information (PHI), and built-in compliance features like audit logging and encryption. Unlike generic form builders, our templates understand healthcare workflows out of the box.
All templates are fully customizable. Add or remove fields, rearrange pages, set up conditional logic (like showing medication details only when a patient indicates they take medications), and apply your practice’s branding — your logo, colors, and fonts.
Social Determinants of Health Screening
SDOH screening covering food security, housing stability, transportation access, financial strain, personal safety, and social isolation. Based on CMS-recommended screening tools for value-based care.
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