Capture comprehensive patient information with this digital health history questionnaire. Sections include personal details and contacts; current medications and allergies; past medical and surgical history; immunizations; family history; review of systems; women's and men's health; sexual health; and mental health. Use it for new patient intake or periodic updates to support diagnosis, risk assessment, and continuity of care. Fully editable in SafetyCulture to match clinic workflows and record-keeping requirements.
With SafetyCulture you can
Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log
With SafetyCulture you can
Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log
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Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.
