Medical Examination Form Template

This online medical examination form is used by clinics or health care providers to collect medical related data about individuals that need medical examinations to determine whether they are physically fit for current or future jobs. Patient’s data from personal identification details to medical condition facts, medical history and specific treatments or medications are all information that can be easily collected with this form. You can use this online medical examination form template to register patients for a medical exam within your clinic. Edit it in any way you want and share it anywhere online using our form builder. No coding needed.

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Frequently Asked Questions

How do I customize this template?

This medical examination form sample will get you on your way to an online medical report form for a variety of purposes, such as an army medical examination form or a medical examination form for food handlers. Editing is a snap—just drag and drop the fields you need and delete the ones you don’t. In addition, we provide many advanced form options.

How do I publish a template?

We offer many publishing options for your forms. For example, on your website, in an email, even on social media. Just copy and paste anywhere you want to provide access to this medical physical examination form. Not only is it easy to distribute, but the medical test form is also mobile-optimized and painless to complete on a variety of devices.

How can I collect & manage data?

Rest assured that the confidential information collected on the medical health examination form is securely transmitted and stored in your 123FormBuilder dashboard. From the database, you can export the physical medical history form data to Excel, CSV or PDF for further processing. Or you can create charts of health trends. For a price, we can enable extra layers of security on your patient data that are HIPAA-compliant as is our form builder.

How can I optimize processes?

Expedite patients’ employment and school enrollment process with an online medical examination report form that reduces paper waste and sidesteps poor penmanship. In fact, you can configure it to notify multiple recipients so that patients and employers receive medical report results the same day.

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