Health & care form templates

Intake, medical history, consent and care forms for clinics, practitioners and carers. 13 ready-made templates — try each one on its page, then make it yours in FileIt Forms.

All templates 160 HR & employment 20Business & clients 13Events & community 10Education & family 20Health & care 13Property & rentals 9Finance & insurance 10Hospitality & travel 10IT & operations 10Trades & field work 10Sports & wellness 10Nonprofit & faith 10Feedback & surveys 8Legal & consent 7
Counselling intake Let a new client share what brings them to counselling, their history and goals, before their first session. 26 questions · 5 pages Dental intake A new-patient form covering dental history, current concerns, relevant health details, comfort needs and insurance — before anyone sits in the chair. 27 questions · 5 pages Elderly care intake Get to know a new resident or client as a person, not just a set of care needs, before they arrive. 34 questions · 5 pages Emergency contact & medical info Collect the allergies, medication and emergency contact details a school, club or care setting needs to act fast. 22 questions · 4 pages Eye exam intake Gather a patient's vision history and symptoms online before their appointment, so the optometrist starts with the full picture. 23 questions · 4 pages Home care assessment Assess what support someone needs at home, from mobility and personal care to home safety, before care begins. 27 questions · 5 pages Medical history An online health history questionnaire covering past and current conditions, surgeries, family history and lifestyle, ahead of a consultation. 23 questions · 5 pages New patient intake Register a new patient before their first appointment, so your time together can focus on their care. 29 questions · 5 pages Pet boarding intake Check-in details for boarding or pet-sitting, so a pet's routine, health and vet information travel with them. 29 questions · 5 pages Prescription refill request Let patients request a repeat prescription online, with everything your practice needs to process it safely. 21 questions · 3 pages Telehealth consent Collect consent, a quick tech check and safety details before a patient's first video or phone appointment. 21 questions · 4 pages Vaccination consent Collect screening answers and signed consent before a vaccine is given — for an adult, or completed by a parent or guardian. 30 questions · 4 pages Wellbeing check-in A short, regular pulse check on mood, sleep and stress, with a simple way to ask for a follow-up conversation. 15 questions · 2 pages

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