Free New Patient Medical Forms

The first appointment of the patients at any healthcare facility always requires a number of steps before proceeding to the actual health care provision. Whenever a patient arrives at any hospital or a clinic, a patient’s registration is the first step that has to be done formally.

Why a new patient medical form is filled?

Registration and documentation at the time of the first appointment carries an important place in the maintenance of the medical records and saves a lot of time and energies of the patient and the health care providers during the subsequent hospital visits of the same patients. So, most of the new hospitals and clinics maintain a good record of the patient and most of this record comes from the new patient medical forms.

What is included in new patient medical forms?

Since the hospital is interested in gathering as much information of the patient as it can, the medical forms at the first visit contain a number of sections which are duly filled and carefully kept in the medical records department.

  1. The first and foremost information to be mentioned in the new patient medical forms is the introduction and identity of the patient. Name of the patient with his father’s or guardian’s name is always mentioned with proper care and responsibility. This section also includes information about the address and contact number of the patient. Hospital management is interested in knowing the address and contact details for follow up and many other reasons. Some information about the family is also mentioned in the first section of the form.
  2. Some new patient medical forms have a separate section for the details of insurance of the patient. Since the medical facility is quite expensive and some companies offer medical coverage to the patient, the details of medical insurance are mentioned in the new patient registration form. Some companies cover the medical expenses of their employees and families.  All of such information is mentioned in the registration form so that the hospital can contact the sponsoring company for verification and vice versa.
  3. New patient medical forms may also contain information about the medical and surgical history of the patient. This history is not mentioned in details as this section is mostly the concern of the respective specialty where the patient is referred. But, still, some basic information is always good to mention at the time of appointment. Medical and surgical history is sometimes accompanied by the dental history as well and so is mentioned the history of drugs, medication, allergies and blood transfusion.
  4. Some of the new patient medical forms also need to ask the patient’s relatives and emergency contact numbers. This is an important section of the form because the patient’s relatives might be contacted in case of emergencies or any other reference and follow up when the patient himself gets out of reach of the hospital.
  5. In the end, the patient or guardian goes through the form again and signs this document agreeing that the information mentioned is correct.

New Patient Entrance Form

New patient entrance form


New Patient Information Sheet

new patient information sheet


Simi Karton

Simi Karton is a regular contributor to National Science Quarterly and an enthusiastic Lakers fan. She recently collaborated on a manuscript with friends and colleagues. Dr. Simi Karton, entitled Parkinsons and the Genetic Response to Eastern Medicine, in which she and Dr. Inshal presented research compiled during a summer spent in United States. She currently resides in Los Angeles with her husband. This website is a voluntary work of Dr. Karton to provide people with useful health related information stuff at an easy approach. The information has been collected from different sources at one place.

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