medical forms

Medical Forms are used by medical facilities and healthcare practitioners on a daily basis. They are used to obtain patient information and safeguard such information, and to obtain liability release for a minor to get treatment, among other things. Not only are they useful to medical facilities and healthcare practitioners, they are used by business organizations and educational institutions as well. Businesses and schools need to get the health information of their employees and students to aid them in the event of a medical emergency. The importance placed on health is one of the reasons why Medical Forms are widely used. There are various types of Medical Forms below that you can download and edit according to your needs.

School Medical Form Templates

Child School Entry Medical Health Exam Form

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  • PDF

Size: 45 KB

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School Entrance Health Form

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  • PDF

Size: 361 KB

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School Physical Form

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  • PDF

Size: 57 KB

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Emergency Medical Forms

Emergency Medical Authorization Form

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  • PDF

Size: 108 KB

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Emergency Medical Consent Form

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  • PDF

Size: 127 KB

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Student Emergency Medical Form

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  • PDF

Size: 395 KB

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Employee Medical Forms

Employee Medical Declaration Form

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  • PDF

Size: 349 KB

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Employee Medical Statement Form

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  • PDF

Size: 213 KB

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Employee Medical Certification Form

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  • PDF

Size: 85 KB

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Staff Medical Forms

Staff Medical Report Form

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  • PDF

Size: 73 KB

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Staff Medical Questionnaire Form

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  • Doc

Size: 159 KB

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Adult Camp Staff Medical Information Form

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  • PDF

Size: 52 KB

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Student Medical Forms

Student Medical Examination Record Form

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  • PDF

Size: 439 KB

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Student Medical Certificate Form

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  • PDF

Size: 75 KB

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Student Medical Information Form

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  • PDF

Size: 77 KB

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General Tips in Writing Medical Forms

  • The information requested on Medical Forms should only be those that are relevant and useful for the upkeep of the person’s health. Unnecessary questions should be avoided.
  • There should always be a disclosure agreement as per mandated by the HIPAA or the Health Insurance Portability and Accountability Act, to reiterate the responsibility of the institution requesting medical information to safeguard the person’s medical information. Because aside from the questions being relevant and useful, the answers should also be treated as confidential information that should only be shared to authorized persons, which should also be clearly stated on the HIPAA Forms.
  • Filled out forms should be properly kept for future reference.
  • The patient’s signature can be added when necessary.

School Medical Forms

Along with Student Information Forms, Medical Forms are also used in schools and universities, especially for first time enrollees. Any student would have to go through a medical examination by a physician to make sure that he is physically fit and able to independently go to school. If not, he may need medical assistance and the school has to be notified of that. Any allergies to food and medication should be clearly stated as well. You may see our downloadable School Physical Forms for more examples.

Emergency Medical Forms

Emergency Medical Forms are used mostly by educational institutions like schools and universities to obtain consent from a student’s parent or guardian so that he can be treated during a medical emergency. Such is necessary, especially when the parent or guardian cannot be reached by the school in spite all efforts being made. The following information has to be indicated on the form:

  • Student’s personal information, which includes his name, address, and contact information
  • Parent’s or guardian’s name, address, and contact information
  • Alternate persons who can be contacted in the event that the parent or guardian cannot be reached
  • Preferred healthcare facility and physician with contact information, if possible
  • Any present allergy to food or medication
  • Any present medical condition
  • Signature of the parent or guardian showing that he grants or refuses his consent

Given the importance of Emergency Medical Forms, it should be properly filled out and updated whenever there is a change in the information provided. It is very imperative that no outdated information is in file. You may also see our Child Medical Consent Forms for more samples of Consent Forms for children.

Medical Release Forms

Event Medical Release Form

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  • PDF

Size: 204 KB

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Player Medical Release Form

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  • PDF

Size: 233 KB

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Medical Treatment Release Form

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  • PDF

Size: 5 KB

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Medical History Forms

Patient Medical History Form

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  • PDF

Size: 117 KB

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Medical History Form for New Patient

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  • PDF

Size: 279 KB

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Adult Patient History Form

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  • PDF

Size: 26 KB

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Medical Information Forms

Excursion Medical Information and Consent Form

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  • PDF

Size: 23 KB

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School Medical Information Form

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  • PDF

Size: 194 KB

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Authorization for Release of Medical Information

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  • PDF

Size: 214 KB

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Medical Intake Forms

Family Practice New Patient Intake Form

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  • PDF

Size: 443 KB

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Patient Medical History Intake Form

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  • PDF

Size: 87 KB

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Paediatric Medical Intake Form

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  • PDF

Size: 60 KB

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Employee Medical Forms

Business organizations also do what they can to make sure their employees are safe and healthy, which is why, aside from schools and universities, Medical Forms are useful in the workplace as well. This is also useful before a company decides to hire an employee. They have to make sure that the prospective employee is not only skillful, but he is physically fit to do the job as well. Here are a few types of Employee Medical Forms:

  • Employee Health Declaration Forms: These are not necessarily filled out by the employee’s physician. This is filled by the employee to notify the employer of any existing medical condition and medication that the employee is taking regularly. This information is needed in case of an emergency. This is also for the employer to determine if the employee needs any adjustments to cope with his responsibilities as an employee, if the employee has any existing medical condition that could affect his work performance.
  • Employee Medical Statement Forms: These forms have parts that are filled out by the employee’s physician or nurse. It is filled out after the employee has had a physical assessment or examination. This is used to certify that the employee is free from any communicable disease. This is mostly required by schools because teachers are exposed to children five days out of a week, and it is important to ensure that the teachers are free from diseases that could compromise the health of the children.

Medical Release Forms

Medical Release Forms are used by organizations and event organizers to release their company from legal liabilities in the case of a medical emergency. For example, if someone wants to play soccer, he has to sign a Medical Release Form so that the organization he is affiliated with while he plays will not be legally held responsible for future injuries. What statements have to be included in Medical Release Forms?

  • It should be stated that the person is a voluntary participant of the event and is aware of possible injuries that he may incur in the event or activity.
  • This being said, it should also be stated that the participant is releasing the company or organization of any legal and financial liabilities in case a medical emergency does occur or if he gets injured.
  • The participant should also indicate that he has been examined physically by a physician and is found to be physically fit to participate in the event. If he ever gets injured, he should also authorize a physician or medical facility to provide him with medical treatment, but the financial responsibility would be his and not the organization’s.
  • Lastly, the participant should agree that in the case of an injury, he may be removed from the event until such time that he has recuperated from the injury and during which, he has to provide a Medical Certificate signed by his attending physician to prove that he was examined and was found to be physically fit to rejoin the event.

Medical Application Forms

Family Medicine Application Form

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  • PDF

Size: 43 KB

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Medical Card Application Form

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  • PDF

Size: 263 KB

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Medical Training Initiative Registration Form

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  • PDF

Size: 292 KB

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Medical Certification Forms

Medical Self-Certification Form

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  • PDF

Size: 47 KB

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Medical Leave Certification Form

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  • PDF

Size: 21 KB

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Medical Necessity Certification Form

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  • PDF

Size: 56 KB

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Medical Verification Forms

Health Care Professional Verification Form

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  • PDF

Size: 56 KB

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Medical Director Verification Form

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  • PDF

Size: 474 KB

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Medical Examiner Certification Form

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  • PDF

Size: 15 KB

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Medical Service Form

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  • XLS

Size: 16 KB

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Medical History Forms

Before any medical institution can admit or treat a patient, they would first have to obtain information on the patient’s medical history. A Medical History Form is used to gather information on the patient’s past illnesses or surgeries he had undergone so that the physician can then plan the course of medical treatment for the patient. A patient’s medical history is usually obtained during their first visit to a medical facility.

Information to Be Included in Medical History Forms

  • Patient’s personal information and demographic
  • Chief complaint of the patient, such as having stomach pain
  • Current or past medical conditions
  • Previous surgeries that the patient had
  • Any present allergies to food and medication
  • A list of any prescription medication that the patient is regularly taking
  • The local pharmacy where the patient gets his medication
  • Family Medical History or history of any diseases that any of his family members had or still have
  • Social history, which includes information about tobacco use, alcohol intake, and illegal drug use
  • A list of immunizations
  • Recent hospitalizations
  • Emergency contact information
  • Health insurance information

Importance of Medical History Forms

  • It is important for physicians to come up with a diagnosis for the patient’s current complaints. This is because the physician has knowledge about the person’s social activities and his previous illnesses or medical conditions.
  • The patient’s medical history is also a factor in determining what medical treatment or regimen would be best for the patient. For example, if the physician knows the patient’s previous medical conditions and his allergies to any medication, he will know what medicines to avoid administering or prescribing to the patient, and with this information, he will be able to determine what medicine is the best option for the patient to treat his current condition and avoid or minimize any possible side effects. For example, if a physician knows that the patient has a history of stomach hyper-acidity, he knows that he should avoid prescribing medicines to the patient that would trigger such previous medical condition.
  • Aside from being used by medical facilities, Medical History Forms are also used by businesses to keep a record of their employees’ medical history in the event of a medical emergency. This will help any company lessen or eliminate any health hazards present in the workplace. You may see our Employee Medical History Forms for samples.

Medical Information Forms

These are used by educational institutions to gather medical information about their students for safekeeping and for use during medical emergencies. Along with this, a Release Form may be required by the school or university to be filled out to obtain consent from the student, or parent or guardian of the student, to release the student’s medical information to authorized persons.

Medical Application Forms

Medical Application Forms are used by medical practitioners such as physicians and nurses, or any profession in the medical field, for them to attend medical training, or for physicians to apply for residency in a hospital. This can also be used to apply for a medical card, which can be used to avail a range of health care services that are free of charge.

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