FREE 10+ Sample Patient Information Forms in PDF | MS Word

Personal Information Forms are required by every hospital or medical institution when you have yourself checked, when you are admitted, or when you undergo any medical procedure. This is a tool that helps them to provide each patient with the proper medical treatments and medication while considering any present medical conditions or allergies the patient may have. This can also ultimately lead to a hassle-free billing process.

New Patient Information Form

Dental Patient Information Form

Update Patient Information Form

Generic Patient Information Form

Blank Patient Information Form

What information is included in Patient Information Forms?

• Personal information of the patient
• Personal information of the guarantor or the person in charge of the medical bills
• Health insurance information
• Patient’s medical history, including previous illnesses, hospitalizations, and surgeries
• A consent form and a disclosure agreement when necessary

What are the types of Patient Information Forms?

• New Patient Information Form: This is required by medical institutions when a patient is a first-time visitor.
• Dental Patient Information Form: This is used by dental clinics or for patients with dental concerns.
• Update Patient Information Form: This is used if any information on a Patient Information Form should be updated.
• Patient Health Information Form: This form lists the patient’s information and the patient can choose which information can be released or disclosed. This is usually requested by the patient.
• Patient Demographic Information Form: The purpose of this form is to categorize the patients based on their demographics for the purpose of statistical analysis.

You can find more Patient Information Forms below. If you need your information to be disclosed to any other organization, you would need to sign Release of Information Forms for this purpose.

Patient Insurance Information Form

Patient Health Information Form

Patient Information Form in PDF

Patient Demographic Information Form

Patient Information Form in Word Format

Patient Information Form Example

Under medical history, there are a number of information bits that have to be included. That would be any allergies you might have if exposed to any food or medication, any current or past illnesses, family history of any illnesses, any surgeries whether major or minor, and current medications.

Importance of Patient Information Forms

• Such forms help hospitals choose the proper treatment and medication best suited for the patient, like if someone is allergic to a certain medicine, then you can choose alternative medicines for the patient.
• The consent forms and disclosure agreements are necessary so the hospital will not have any legal liability issues. It also shows that the patient is fully aware and chooses to get treatment and medication.
• It also helps with demographics and statistical analysis. With this information, you will know what the trends are when it comes to which types of individuals usually get certain illnesses. This can also be necessary for disease prevention.

As hassle as filling out these patient forms could prove to be, once you understand the rationale behind them, you will begin to appreciate their importance. You may also want to fill out a Medical Information Form for any medical emergency.