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Health Screening Form

Maximize productivity and elevate clinical outcomes with our printable Health Screening Form template.

Patricia Buenaventura avatar

By Patricia Buenaventura on Aug 2, 2025.

Fact Checked by Nate Lacson.

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Health Screening Form Template

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Commonly asked questions

A release of information form, completely different from our Health Screening Form, is required to release patients' medical records. The release of information allows a third party to access current medical information, whereas the Health Screening Form merely collects relevant information presented on the form. A Health Screening Form cannot be used to authorize anyone to access a patient's medical record. Luckily, if you need a release of information form template, you can find it in our template library.

In a Health Screening Form, the referring medical professional or third parties would usually specify the range of medical conditions that are highly relevant to the specific circumstances. All you have to do is to fill out your credentials and tick boxes, and of course, feel free to comment on any medical conditions that you may think are worth mentioning, but are not listed in the form. If you are a physician, you must examine the patient and fill out the results in their respective fields.

Health screening forms serve an important function in both secondary prevention and risk reduction. They tell healthcare professionals about certain vital medical conditions so they can avoid treatments or operations that may harm you. Screening basic vital signs also helps identify life-threatening medical conditions before they become lethal.

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