Browse 50 free healthcare & clinics templates — patient registration, clinical intake forms, symptom logs, therapy consent, chronic-disease risk assessments and AI-scored patient reports. Copy, customize and share in minutes.
← All templatesThe Healthcare & Clinics collection gathers 50 free templates: clinical intake forms, patient self-assessments, chronic-care and rehab follow-ups, complaint and consent forms, plus clinic satisfaction and NPS surveys. 13 of them are scored assessments that generate an AI PDF report as soon as the patient submits; the rest are structured registration forms you can customise field by field.
Built for general practices, specialty clinics, community health centres, telehealth providers and insurers — copy any template into your FormLM workspace for free and go live in minutes.
A free, customizable new patient registration form that captures demographics, insurance and emergency contacts digitally before the first visit — no clipboard, no re-typing at the front desk.
View template →A clinical intake patient registration form merges identity capture with a first-pass health questionnaire — demographics, chief complaint, medications and allergies — in a single digital intake.
View template →A walk-in clinic registration form is a shortened, urgent-care-friendly intake that captures identity, insurance and chief complaint fast enough to keep the queue moving.
View template →A medical complaint registration form captures patient or family identity, complaint details, severity, timeline and preferred resolution in one structured intake for clinical governance and quality teams.
View template →A medical qualification registration form captures identity, referring clinician, prior diagnoses, supporting documents and eligibility answers so an intake reviewer can approve or reject without a callback loop.
View template →Name, phone, health background and core needs in four fields — enough for the front desk to route and prioritise every walk-in.
View template →A specialist referral registration form captures the referring clinician, referral reason, prior workups, imaging and appointment preferences so the consultant opens the file already complete.
View template →Patients acknowledge result delivery, consent to electronic delivery and e-sign — every notification leaves a timestamped audit trail.
View template →A symptom registration form turns “I feel awful” into structured data — symptom, onset, severity, triggers, associated signs — so triage and the clinician can act on the same picture.
View template →A multi-symptom registration form lets patients log each concurrent complaint separately (onset, severity, fluctuation, medication response) so complex cases come to the visit with usable data.
View template →A combined booking and registration form lets a patient pick a service, choose a slot, complete a mini-registration and get an instant confirmation in one flow — no separate phone step.
View template →A clinical intake questionnaire captures past medical history, current medications, allergies, family history, lifestyle and current concerns in the structured form clinicians actually read.
View template →A symptom-focused intake form captures the chief complaint in a structured OLDCARTS block (onset, duration, character, aggravating/relieving, radiation, treatment tried, severity) plus red-flag prompts.
View template →A general clinical intake form for multi-specialty clinics: identity, chief complaint, past history, medications, allergies, lifestyle and consent — the shared baseline every specialty can customize.
View template →A family practice intake form uses age and sex gating to reveal only the relevant blocks — pediatric growth, women's health, adult chronic, elderly medication — so one form serves the whole household.
View template →Rate video quality, doctor communication, platform ease and privacy comfort after each telehealth visit — with open comments you can act on.
View template →A lab and imaging order form captures patient identity, requested modality, clinical indication, prior results, contrast and pacemaker safety flags, and appointment preferences in one structured requisition.
View template →A chronic care follow-up intake form captures current readings, medication adherence, lifestyle, exacerbations and next-step plan for patients living with long-term conditions — the same structure every review.
View template →A post-discharge follow-up form captures recovery milestones, wound status, medication restarts, red-flag symptoms and home situation so hospitals can catch readmission risks in the first 72 hours.
View template →Register care recipients, relationship, daily care hours, living arrangement and needed support services — structured applications for home-care intake.
View template →A multi-specialty clinic intake form keeps identity, allergy and medication blocks shared across every department, then lets each specialty add or hide its own questions — one baseline, many clinics.
View template →Log medication, dosage, planned vs actual intake, missed doses and side effects daily — an exportable adherence trail for reviews.
View template →A BMI self-assessment captures height, weight, age, waist and lifestyle factors, scores five dimensions and produces an AI PDF report with the individual's BMI band, waist-to-height ratio and next steps.
View template →A chronic-disease risk assessment scores five domains — cardiovascular, diabetes, metabolic, family history and lifestyle — and produces an AI-written patient report with the risk band and suggested next steps.
View template →Six-dimension rehab self-report — mobility, pain interference, daily living, resilience, participation and self-efficacy — with a printable AI progress report.
View template →Rate dietary pattern, physical activity and family history on 1–5 statements — a personal AI PDF risk profile with practical first steps.
View template →Score dietary diversity, macro and micronutrient balance, hydration, meal regularity and portions across six dimensions — printable AI nutrition report.
View template →Score sleep duration, continuity and environment on 1–5 statements and get a personal AI PDF report with practical sleep-hygiene next steps.
View template →A clinical intake assessment with AI PDF report scores five dimensions (symptoms, history, risk, lifestyle, follow-up), writes a personalized report the patient keeps, and hands them an AI consultant chat via QR code.
View template →A cardiometabolic risk assessment scores blood pressure, lipid profile, glucose, waist and lifestyle; the AI PDF report translates the numbers into a plain-language band with next steps and hands the patient an AI consultant chat.
View template →Screen balance, home environment and medication factors on 1–5 statements — a personal AI report showing which prevention lever to pull first.
View template →A behavioral health intake assessment scores mood, anxiety, sleep, function and risk (with crisis escalation), then generates an AI PDF report the client and clinician review together.
View template →A symptom pattern assessment scores severity, frequency, triggers, interference and medication response — five dimensions rolled into a printable AI PDF report the clinician and patient review together.
View template →Staff sign in, then answer scored items on training basics, practical application and compliance & safety — per-person AI score reports.
View template →A patient health readiness quiz scores five domains (knowledge, motivation, access, support, self-management) and produces an AI-written report showing where to focus the first appointment.
View template →A clinical intake consent and data-release form captures explicit patient consent to collect, use and share health records, with granular toggles per recipient, typed signature and a printable confirmation.
View template →A therapy consent form captures treatment scope, session cadence, confidentiality limits, telehealth permission and a typed signature so therapists and clients start the relationship with clear boundaries.
View template →A pre-visit confirmation form has the patient confirm attendance, refresh contact and insurance, answer preparation questions and acknowledge instructions — in one submission before the appointment.
View template →A health risk acknowledgement form captures what the individual understood about a set of listed risks, what they agree to accept, and what conditions void participation — with a typed signature for the record.
View template →A procedure preparation acknowledgement form captures what the patient did before a day-procedure (fasting, medication timing, hygiene), the arrival plan and any last-minute questions, before they enter the suite.
View template →A clinical intake confirmation form has the patient review each section of their completed intake, correct anything wrong and sign to confirm accuracy — creating a defensible audit trail for the chart.
View template →Collect employee IDs, departments, shift preferences, available days, leave reasons and emergency contacts in one structured form — export the whole rota at once.
View template →A provider communication feedback survey measures the four things patients value most — clarity, feeling heard, questions answered, and knowing what happens next — after every consultation.
View template →A care team satisfaction survey measures patient experience across nursing, reception, admin and support teams (not just the clinician), and rolls results up by department.
View template →A clinic patient satisfaction survey measures six dimensions — waiting, appointment, environment, staff, communication and overall — and aggregates results by department, clinician or period.
View template →Four quick fields confirm who collected which e-prescription and why — a timestamped pickup record instead of a paper log.
View template →A healthcare NPS survey captures the classic 0–10 “would you recommend?” question plus a reason, and rolls results into promoters, passives and detractors for trend analysis.
View template →A health check package booking form lets the patient pick a package, add optional screenings, complete a mini-intake and book a slot in one flow — the front desk receives a complete packet.
View template →A daily health check-in log has patients record symptoms, medications, readings and daily notes; every timestamped entry becomes a longitudinal view the clinician opens at the review.
View template →A patient insurance information form captures carrier, plan, member ID, group, holder relationship and copay details, with an insurance-card photo upload and a clean self-pay branch.
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