Looking for a professional, editable Health History Form Template that doesn’t cost a dime?
You’re in the right place.
Most health history form templates available online are either locked behind a paywall, rigid PDF files, or poorly designed with outdated layouts.
That’s exactly why I created five free, fully editable Health History Form Templates in Google Docs — so you can customize them quickly and efficiently without the headache.
Whether you’re a clinic, wellness coach, physiotherapist, or personal trainer, these templates are built to save you time, look great, and collect the information you actually need.
Usage Note: These templates are free to use for both personal and commercial purposes. However, redistribution, resale, or uploading these templates to other websites or platforms for download or sale is strictly prohibited. Please respect the effort that went into creating these resources by using them responsibly.
How to Use These Free Health History Form Templates
Using these Health History Form templates is super simple.
Just follow these easy steps:
- Browse the templates on this page – Check out the 5 unique, professional designs and pick the one that best matches your needs—whether it’s for a clinic, fitness program, or wellness consultation.
- Click the “Get this template” button – You’ll be taken to a preview page where you can review the layout, sections, and design.
- Click the “USE TEMPLATE” button – Make sure you’re logged into your Google account. Hitting this button will instantly save a copy of the template to your Google Drive.
- Customize it to your needs – You can easily edit the form in Google Docs—add your clinic’s logo, adjust the questions, change fonts or colors, and make it truly your own.
- Share or print – Once you’re done editing, you can either print copies for in-person use or share the form digitally with clients or patients for a paperless experience.
For a more detailed patient evaluation, explore our Free Physical Exam Form Templates. These templates include sections for vital signs, immunization status, and detailed physical examination findings, making them ideal for clinics and hospitals.
Health History Form Template-1
This all-in-one health history form template is perfect for clinics, private practices, wellness centers, and therapists who need a thorough yet easy-to-use patient intake form.
✅ Key Features & Benefits:
- Fully editable in Google Docs – Customize text, sections, or branding in seconds.
- Print-ready and shareable – Use for in-person visits or email as a digital intake form.
- Organized for quick review – Makes it easy for healthcare providers to assess medical history at a glance.
📋 Main Sections Included:
- Basic Information: Name and Date of Birth fields for identification.
- Insurance Details: Sections for Insurance Company, Member ID, and Group Number.
- Primary Care Provider Info: Capture the patient’s current doctor’s contact details.
- Personal Health History: A comprehensive checklist of over 50 medical conditions, from anxiety and diabetes to heart disease and autoimmune issues.
- Hospitalizations & Surgeries: Dedicated spaces to document past hospital visits and procedures.
- Family Health History: Mirrors the personal history section, allowing patients to indicate any genetic or hereditary health concerns, along with the affected relative.
Whether you’re onboarding new patients or updating records, this template helps you gather everything you need in one clean, easy-to-read document.
Health History Form Template-2
Template: Ensure smooth patient transitions with our Hospital Discharge Form Template. This form is fully customizable in Google Docs, allowing you to tailor them to your facility’s needs.
This elegantly designed health history form template features warm, professional shades of Chestnut Brown, making it ideal for wellness clinics, holistic health practices, or boutique medical offices that value both form and function.
✅ Key Features & Benefits:
- Sleek, modern design with earthy tones for a calming and professional appearance.
- Clear tabular format makes it easy for both patients and healthcare providers to input and review data.
- Editable in Google Docs – Customize it with your logo, fonts, or additional fields.
📋 Main Sections Included:
- Personal Details: Fields for Name, Date of Birth, Blood Type, and Primary Doctor.
- Chronic Illnesses / Conditions: An open area to document long-term medical conditions like diabetes, asthma, arthritis, etc.
- Allergies Table: Organized with columns for the type of allergy, notes (e.g., severity), and whether medication is required—great for tracking critical info at a glance.
- Serious Illness/Injury History: A spacious, date-wise table to record significant past health events, with notes and medication tracking included.
This template is especially useful for practitioners who want a clean, aesthetically pleasing form that’s also highly functional for ongoing medical tracking or patient onboarding.
Health History Form Template-3
This Comprehensive Health History & Medical Intake Form is designed for healthcare providers who need a detailed overview of a patient’s medical background.
With sections for personal, family, social, and review-of-systems history, this template ensures that no detail is overlooked.
✅ Key Features & Benefits:
- Thorough medical history coverage: Captures everything from personal and family medical history to social and lifestyle factors.
- Editable in Google Docs: Quickly make adjustments to align with your practice’s needs—add your logo, change font styles, and customize questions.
- Complete & detailed layout: Includes sections for allergies, medications, surgeries, and review of systems, ensuring a comprehensive intake process.
📋 Main Sections Included:
- Patient Information: Collect essential details such as name, DOB, gender, and address.
- Emergency Contact: Fields for emergency contact information, including name, relationship, and phone number.
- Insurance Information: Track insurance provider and policy numbers for efficient billing.
- Personal History: A detailed checklist of over 20 common medical conditions, including allergies, diabetes, heart disease, and cancer.
- Treatments/Medications: A table to record current medications, dosage, frequency, and purpose.
- Family History: Capture any genetic conditions such as cancer, heart disease, or mental health issues.
- Social History: Insight into lifestyle habits like tobacco and alcohol use, as well as exercise routines.
- Review of Systems: A comprehensive checklist to track any current symptoms across various systems, including cardiovascular, neurological, and gastrointestinal.
- Patient Signature & Date: Space for the patient’s signature, confirming the accuracy of the provided information.
This template is ideal for practices that want to ensure a thorough and organized collection of patient history, making it easier to assess medical risks and provide personalized care.
Health History Form Template-4
Template: Manage and document patient allergies effectively with our Free Allergy Form Template. This template helps in recording allergens, reactions, and necessary precautions.
This Minimalist Health History Form Template is a refined version of our original design, perfect for clinics or professionals who prefer a cleaner, distraction-free look.
By removing the side borders and using a soft Seafoam Green header background, this template offers a calm and contemporary feel while maintaining the same depth of information capture.
✅ Key Features & Benefits:
- Modern minimalist design – No table borders, resulting in a sleek and spacious layout that’s easier on the eyes.
- Seafoam Green headers – Adds a subtle visual structure while keeping the overall look clean and professional.
- Fully editable in Google Docs – Personalize text, branding, or sections with just a few clicks.
📋 Main Sections Included:
- Basic Information – Name, Date of Birth, and Insurance details.
- Primary Healthcare Provider – Space to record doctor contact info.
- Personal Medical History – A detailed checklist of over 50 conditions including diabetes, allergies, heart issues, and mental health.
- Other Medical Issues / Hospitalizations / Surgeries – Open-ended sections to record past treatments or relevant events.
- Family Medical History – Mirror of the personal checklist, with added space to note familial relationships for each condition.
Whether you’re a solo practitioner or a growing clinic, this clean and efficient form ensures thorough patient intake without overwhelming design.
Health History Form Template-5
This Streamlined Health History Form Template offers the same structured format as Template 2 but with a fresh, minimal twist.
By removing the side borders and applying soft Seafoam Green headers, this version provides a more open, breathable layout that feels clean and modern—perfect for professional environments that value both form and function.
✅ Key Features & Benefits:
- Minimalist layout – Side borders have been removed for a decluttered and modern aesthetic.
- Seafoam Green table headers – Adds a calming, professional touch while clearly separating each section.
- Fully editable in Google Docs – Easily customize fields, labels, or design elements to fit your exact needs.
- Optimized for clarity – Great for clinics, wellness centers, or personal medical records.
📋 Main Sections Included:
- Personal Information – Name, Date of Birth, Blood Type, Primary Doctor, and Contact Details.
- Chronic Conditions – A blank section to input ongoing medical issues.
- Allergies Table – Structured to log allergies with notes and medication requirements.
- Serious Illness/Injury History Table – Organized columns for date, description, notes, and any medications needed.
This template balances comprehensive information capture with a clean, elegant layout—ideal for any healthcare setting seeking a refined yet functional form.
Template: For patients managing diabetes, our Free Insulin Injection Log Template provide an easy way to track insulin doses, blood sugar levels, and injection sites.
Final Thoughts
Keeping accurate health records shouldn’t be complicated—or costly. That’s why we created these free, editable Health History Form templates in Google Docs.
Unlike most options online that are either basic, locked in PDF, or hidden behind a paywall, our templates are thoughtfully designed, fully customizable, and easy to use.
Whether you’re a healthcare provider, wellness practitioner, or simply organizing your own medical information, these forms offer a practical and professional solution.
Take control of your health documentation with templates that save you time, reduce paperwork hassle, and look great while doing it.
Choose your favorite design above, make it your own, and start using it today—100% free.