Health History Form

Form Template

The Health History Form Mobile App is designed to make it easier to note patients' health history.

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The app is useful for health care providers and staff who handle health records. It is a mobile version of a traditional medical history form and has the added perk of being customizable so that you can edit the form to suit the specific needs of your medical care center.

The app can be customized to include fields for family health history, medical history, immunization records, health insurance, and much more. Health care providers can enter information into the form themselves, or the providers can give the mobile device (such as a tablet) to the patient to complete. All of the records are immediately backed up in the Cloud and emailed to you as well.

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“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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