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Featured Article

11 Game-Changing Benefits of Workflow Automation

Jamie T.  | August 1, 2024
Explore the benefits of workflow automation for your business. Learn how automating your processes can lead to higher efficiency, accuracy, and cost savings.
Read the Article
  • Data Collection

    Easily gather, format, and validate data through different field types.

  • Workflow Automation

    Build flexible, efficient workflows that help you engage the right people at the right time.

  • Data Management

    Organize, configure and transfer data, and create reports and documents.

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    Stay compliant with HIPAA, GDPR, CCPA and other privacy regulations.

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    Conduct secure online transactions through your choice of payment partners.

Product
NEW

Enjoy seamless collaboration and keep track of your team's work with Workflow Tasks.

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  1. Templates
  2. Healthcare

Medical History Form

Use our free medical history form template to collect information about a patient’s prior conditions and care. Easily customize it for your medical practice. Add, remove, and change fields. Use Zapier, Microsoft Power Automate, or webhooks to integrate data with your EMR systems. Embed the form directly into your website to make new patient registration fast and simple. Please note that our Enterprise plans can be made HIPAA compliant.

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    Healthcare
Healthcare 24
  • Adult Medical Consent Form
  • Adult Medical History Form
  • Appointment Request
  • Blood Donation Form
  • CAHPS Clinician & Group Adult Survey
  • CAHPS Clinician & Group Child Survey
  • Child Medical Consent Form
  • Child Medical History Form
  • Chiropractic Intake Form
  • Dental Health History Form
  • Doctor Referral Form
  • GAD-7 Anxiety Screening Template with Automated Scoring
  • Immunization Record
  • Medical History Form
  • Medical Release Form (HIPAA Form)
  • New Patient Registration - Adults
  • New Patient Registration - Children
  • Patient Online Bill Payment
  • Patient Satisfaction Survey
  • PHQ-9 Depression Screening Template with Automated Scoring
  • Prescription Refill Request
  • Teletherapy Consent Form
  • Veterinary Prescription Refill Request
  • Veterinary Referral Form

Related Articles

  • 8 Tips for Customizing our Free Form Templates
  • HIPAA Compliance Guide
  • Patient-Experience: The Case for Storing Credit Card Information

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