SURVEY TEMPLATE

Patient Medical History Form Template

Save patient time by an efficient collection of personal information and medical history, ensuring accurate records and realtime updates.

CATEGORY
Healthcare
TIME TO COMPLETE
6 minutes (approx.)
NO. OF QUESTIONS
20
Capture critical medical insights

When new patients join your practice or existing patients visit your office, the intake process can get pretty messy pretty quickly. Build efficiency into your processes with a simple and convenient online data collection tool.

Patient Medical History Form templates are hardly a revolutionary idea. For as long as medical providers have been practicing, there has always been a need to collect background data to ensure that patients receive the best possible care. From allergies and past illnesses to hereditary concerns, the more knowledge a patient can transfer to the provider, the better.

Moving this process online improves both efficiency and data quality, ensuring that nothing is lost along the way. Whether this form is delivered in advance via email, or in person on tablet, mobile, or kiosk, the long lists of checkboxes on piles of paper are no longer required. Implement a streamlined process for collecting patient medical history and your patients and colleagues will thank you.

Benefits of Patient Medical History Forms
1.Capture the insights you need by prompting key questions, even if they might not always be top of mind
2.Work with your patient to get the most comprehensive medical history assessment, improving diagnosis, treatment, and outcomes
3.Personalize treatment plans to ensure patient satisfaction and comfort
CATEGORIES/TAGS
Forms Healthcare
How to use this survey template?

Once you sign in to your Sogolytics account, simply select a template from the bank to get started. Edit, add, or remove questions as per your needs, and create the survey you need easily.

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FAQs

How does a survey template work?

A survey template is a professionally designed questionnaire designed to meet the specific goals of the identified project type. The structure, questions, and answers have been carefully developed to enable users to connect with the right audiences to achieve the appropriate purpose. This template is already built and waiting within the Sogolytics platform, saving time in both the generation of ideas and actual development of the survey. Survey templates also provide a source of inspiration for those uncertain where to begin or seeking guidance and new insights on existing projects.

Can I customize a survey template before I launch?

Yes! While a template provides a solid starting point, most users will choose to customize the survey template before launching. Customization may include adding or removing questions or answers, modifying text, and revisiting logic, pre-population, or other functionality. Visually, a template may also be customized to reflect the appropriate branding, such as a logo, colors, and styles.

How can I get this survey template?

If you don’t already have a Sogolytics account, click “Try This Template” below. You’ll receive a copy of the template in your inbox and you’ll also complete sign-up for a free Sogolytics account. When you log in to the account, the template will be ready and waiting for you to get started.

Where can I find survey templates in my Sogolytics account?

If you already have a Sogolytics account, you’ll find the Template Bank on the home screen when you log in. You’ll also see the option to start from a template every time you create a new project. Create a project on the home screen, from All Projects, or while you’re working on another project. Interested in just a few questions from a specific template? Add them to the Question Bank in your account and re-use them when and where they work best.

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