H

Healthcare & Medical

Healthcare documents including patient forms, medical reports, prescriptions, consent forms, and clinical records.

60 Templates

Patient Intake Form

DocumentDOCX

Collect essential information from new patients including medical history, contact details, and insurance data.
A form used to document a patient's past medical conditions, allergies, and medications.

Doctor’s Note

DocumentDOCX

A note from a physician verifying a patient's illness and recommending time off from work or school.

Prescription

DocumentDOCX

Standard template used by doctors to prescribe medications, including dosage and administration instructions.

Patient Consent Form

DocumentDOCX

A legal document where the patient consents to a medical procedure or treatment plan.
SOAP-format notes used to track a patient’s clinical progress during treatment.

Medical Certificate

DocumentDOCX

A certificate issued by a medical practitioner verifying a person’s health condition.
Summary document provided to a patient upon hospital discharge detailing treatment and follow-up instructions.

Referral Letter

DocumentDOCX

A formal letter from a physician referring a patient to a specialist for further evaluation.
A comprehensive report summarizing findings from a physical or medical examination.

Immunization Record

DocumentDOCX

Official record of vaccinations received by a patient, typically used in schools or travel documentation.
Document used to obtain patient consent for remote medical consultations via telehealth platforms.

Surgical Consent Form

DocumentDOCX

A mandatory consent form signed by patients before undergoing surgical procedures.
Used by mental health professionals to assess a new patient’s psychological history and concerns.

Daily Nursing Report

DocumentDOCX

A daily log used by nurses to document patient observations, medication, and care provided.

Treatment Plan

DocumentDOCX

Outlines diagnosis, goals, procedures, and expected outcomes for a patient’s care.

Emergency Contact Form

DocumentDOCX

Form to record emergency contacts and vital information in case of medical emergencies.

Allergy Record Form

DocumentDOCX

Captures detailed information about a patient’s known allergies and reactions.

Lab Test Request Form

DocumentDOCX

Used by healthcare providers to request specific laboratory tests for a patient.
An invoice template for billing patients or insurance providers for medical services.
Medical form confirming an individual’s ability to perform work-related tasks.
Tracks a patient's follow-up visits, progress, and any changes in treatment after hospital discharge.

Dental Treatment Plan

DocumentDOCX

Used by dentists to outline proposed dental procedures and cost estimates.

Pediatric Growth Chart

DocumentDOCX

Tracks height, weight, and BMI percentiles for pediatric patients.
Log of all medications administered to a patient, including time and dosage.
Used in clinical trials or studies to document participant consent.

Preoperative Checklist

DocumentDOCX

Checklist to ensure all necessary steps and tests are completed before surgery.
Form capturing patient details during hospital check-in for inpatient care.

Vital Signs Chart

DocumentDOCX

Used by medical staff to record a patient’s vital statistics over time.
Written instructions provided to patients after a surgical procedure.
Legal document authorizing someone to make healthcare decisions on a patient’s behalf.
Used to identify health risks or symptoms before appointments or procedures.
Customized care plan for patients with ongoing health conditions like diabetes or hypertension.

SOAP Note

DocumentDOCX

Structured format (Subjective, Objective, Assessment, Plan) for documenting clinical encounters.
Tracks a patient’s improvement through physical or occupational therapy sessions.

Pain Assessment Chart

DocumentDOCX

Visual or numeric tool used to assess and track patient pain levels.
Checklist to assess potential COVID-19 symptoms or exposure prior to care.
Form used by employees to request time off due to illness or medical needs.
Used by doctors to refer patients for physical therapy sessions.
Form used to enroll eligible patients into a clinical research study.
Evaluation form used by employers to assess fitness for duty or workplace health.
Used to evaluate the health and reflexes of a newborn immediately after birth.
Used by patients or providers to submit reimbursement claims to insurers.
Documents patient progress during speech and language therapy sessions.

Vision Test Report

DocumentDOCX

Used by optometrists to record results of eye exams and visual acuity tests.
Form used to request or authorize use of medical equipment like wheelchairs or oxygen tanks.
Used during shift changes to communicate patient status and care plans.

Blood Pressure Log

DocumentDOCX

Daily or weekly tracking sheet for recording blood pressure readings.
Schedules patient appointments by date, time, and practitioner name.
Helps calculate proper medication dosages based on patient weight or age.

Vaccination Tracker

SpreadsheetXLSX

Tracks patients' immunization records, vaccine types, and next due dates.

Treatment Plan

SpreadsheetXLSX

Lists patient diagnoses and outlines prescribed treatments or therapies.

Patient Intake Form

SpreadsheetXLSX

Collects new patient information like medical history and personal details.

Prescription Log

SpreadsheetXLSX

Records medications prescribed to patients along with dosages and duration.

Medical Billing Statement

SpreadsheetXLSX

Summarizes medical services provided and calculates patient billing amounts.

Staff Roster

SpreadsheetXLSX

Lists medical staff shifts, departments, and contact information.

Nurse Shift Schedule

SpreadsheetXLSX

Organizes nurses' work schedules to ensure adequate coverage.

Daily Ward Rounds Sheet

SpreadsheetXLSX

Logs patient status and treatment notes during daily doctor rounds.
Plans regular maintenance checks for medical equipment.

Clinical Trial Data Sheet

SpreadsheetXLSX

Collects trial data points, patient IDs, and results for clinical studies.