Health Tracking Forms

68 Templates

Medical History Form

A medical history form is a questionnaire used by health care providers to collect information about the patient’s medical history during a medical or physical examination.

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Eye Prescription Form

An eye prescription form is a form template designed to help eye doctors record and refer to their patients' prescription information

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Medication List

A medication list template is a document used by a medical professional to track all the medications that a patient is taking.

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Doctor Note Form

A doctor's note form is a document written by a doctor stating the patient is too sick to go to work or school.

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COVID 19 Patient Screening Questionnaire

A COVID-19 patient screening questionnaire is used by medical practitioners to ask patients about their family and medical history.

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Monthly Drug Inventory Form

A monthly drug inventory form is a record of the inventory of a business or organization, used to keep track of assets.

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 Mental Health Journal Template

A Mental Health Journal Template is a form template designed to help therapists and counselors track mood and emotions on a daily basis, as well as monitor mental health progress

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Dental Office COVID 19 Prescreening Form

A dental office COVID-19 screening form is used by dental offices to register patients for the COVID-19 vaccine. This free online COVID-19 Prescreening Form template is ideal for dental offices.

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Health Assessment Form

A health assessment form is a questionnaire that allows medical and healthcare professionals to gather data about individuals.

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COVID 19 Testing Hospital Discharge Form

A COVID-19 testing hospital discharge form is used by hospitals to track the status of patients after receiving the COVID-19 vaccine.

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Online Wellness Evaluation Form

An Online Wellness Evaluation Form is a form template designed to collect information about an individual's health history, lifestyle habits, wellness goals, and any specific concerns or preferences related to their overall well-being.

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TB Skin Test Results Form

A TB skin test results form gathers the results of a skin testing procedure to determine tuberculosis infection.

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Covid 19 Acknowledgement

A Covid-19 Acknowledgement is used by medical professionals to acknowledge patients that have consented to the Covid-19 vaccine. This Covid-19 Acknowledgement form can be customized to fit your medical practice’s branding.

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Migraine Diary Form

A migraine diary form is given to migraine sufferers to record the signs and symptoms of their migraine attacks.

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Medication Record Form

A Medication Record Form is a form template designed to track how often patients fill their prescriptions and which medications they are taking.

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Daily Health Monitoring Sheet

A daily health monitoring sheet is used by companies to track the health conditions and progress of their employees.

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Weight And Measurement Tracking

This simple and easy to use form allows you to track your weight and measurements

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Weight Loss Intake Form

A weight loss intake form is a tool used by medical professionals to collect vital information from new patients regarding their health, treatment needs, and weight loss goals.

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Health Profile Form 

A health profile form is a questionnaire used by doctors and other medical providers to get an overview of the general health of their patients.

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PRP Consent Form

A PRP consent form is a medical document that patients fill out to provide their consent for preparing a platelet-rich plasma (PRP) for their treatment. If you want to use the PRP consent form to keep sensitive patient health information protected, you can use Jotform’s HIPAA friendly features.

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Weight Tracker Form

An online weight tracker is used by individuals to manage their weight and keep up with the changes in their bodies.

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Dermal Filler Treatment Record Form

Get the clients’ treatment record information with a Dermal Filler Treatment Record Form easily after applying any procedures. Keep organized all the time. No coding required.

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Compression Stocking Prescription Form

A compression stocking prescription form is used by medical professionals to prescribe compression stockings for patients with varicose veins

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Medication Reconciliation Form

A medication reconciliation form is a document that is used to organize the medications that a patient is taking.

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About Health Tracking Forms

Health Tracking Forms are digital tools designed to help individuals, healthcare professionals, and organizations monitor, record, and analyze various aspects of health and wellness. These forms can be used for a wide range of purposes, such as tracking daily symptoms, monitoring medication adherence, recording vital signs, logging exercise routines, or managing chronic conditions. Whether you’re a patient managing your own health, a caregiver supporting someone else, or a medical professional overseeing multiple patients, Health Tracking Forms provide a structured and efficient way to collect and review important health data over time.

With Jotform, creating and managing Health Tracking Forms becomes seamless and highly customizable. Jotform’s no-code Form Builder allows users to quickly design forms tailored to specific health tracking needs, using drag-and-drop elements, widgets, and integrations. You can easily add fields for symptoms, medications, dates, and more, and set up conditional logic to personalize the form experience. Submissions are automatically organized in Jotform Tables, making it easy to analyze trends and share data securely with healthcare providers or family members. Jotform’s robust features ensure that health data collection is both efficient and user-friendly, supporting better health outcomes for all users.

Use Cases of Health Tracking Forms

Health Tracking Forms can be adapted for a variety of scenarios, each addressing unique challenges and user needs. Here’s how these forms can be utilized, who might use them, and how their content may differ:

1. Possible Use Cases:

  • Daily symptom tracking for chronic illness management
  • Medication adherence logs for patients and caregivers
  • Fitness and exercise tracking for personal trainers or individuals
  • Diet and nutrition monitoring for dietitians or clients
  • Post-surgery recovery check-ins for healthcare providers
  • Mental health mood journals for therapists and clients
  • Blood pressure, glucose, or other vital sign logs for patients

2. Problem Solving Points:

  • Centralizes health data for easy access and review
  • Enables early detection of health issues through trend analysis
  • Improves communication between patients and healthcare providers
  • Encourages accountability and adherence to health routines
  • Reduces paperwork and manual data entry errors

3. Possible Owners and Users:

  • Individual patients or caregivers
  • Healthcare professionals (doctors, nurses, therapists)
  • Fitness coaches and personal trainers
  • Nutritionists and dietitians
  • Schools, workplaces, or wellness programs

4. Differences of Creation Methods:

  • Symptom trackers may include daily checkboxes, pain scales, and notes
  • Medication logs require fields for drug names, dosages, and times
  • Fitness trackers might use dropdowns for activity types and duration
  • Nutrition forms could include meal logs, calorie counts, and food groups
  • Mental health journals may use mood scales and open-ended reflection fields

In summary, Health Tracking Forms are versatile tools that can be tailored to fit a wide range of health monitoring needs, with content and structure varying based on the specific use case and user requirements.

How to Create a Health Tracking Form

Creating a Health Tracking Form with Jotform is a straightforward process that allows you to tailor the form to your specific health monitoring needs, whether you’re tracking symptoms, medications, fitness routines, or other health metrics. Here’s a step-by-step guide to help you design, customize, and manage your Health Tracking Form effectively:

1. Start with the Right Template or a Blank Form:

  • Log in to your Jotform account and click “Create” on your My Workspace page.
  • Choose “Form” and either start from scratch or select from Jotform’s library of Health Tracking Form templates.
  • Templates are available for common use cases like symptom trackers, medication logs, and fitness journals, saving you time on setup.

2. Select the Appropriate Layout:

  • Decide between a Classic Form (all questions on one page) for quick overviews, or a Card Form (one question per page) for a guided, user-friendly experience—ideal for daily tracking.

3. Add and Customize Form Elements:

  • Use the drag-and-drop Form Builder to add fields relevant to your use case:
  • For symptom tracking: date pickers, checkboxes for symptoms, pain scales, and comment boxes.
  • For medication logs: dropdowns for medication names, time fields, and dosage inputs.
  • For fitness tracking: activity type dropdowns, duration fields, and notes.
  • For nutrition: meal type selectors, calorie counters, and food group checklists.
  • Incorporate widgets like e-signatures for caregiver verification or file uploads for attaching medical reports.

4. Personalize the Form Design:

  • Click the Paint Roller icon to open the Form Designer.
  • Adjust colors, fonts, and themes to match your organization or personal preferences.
  • Add your logo or a custom header for a professional touch.

5. Set Up Conditional Logic and Notifications:

  • Use conditional logic to show or hide fields based on user responses (e.g., display additional questions if a symptom is reported).
  • Set up email notifications to alert you or a healthcare provider when a form is submitted.
  • Enable autoresponder emails to send confirmation or next steps to the user.

6. Publish and Share Your Form:

  • Click “Publish” and copy the form link to share via email, SMS, or social media.
  • Embed the form on a website or patient portal for easy access.

7. Test and Manage Submissions:

  • Preview the form and submit a test entry to ensure everything works as intended.
  • Monitor responses in Jotform Tables, where you can filter, search, and analyze data.
  • Export data for further analysis or share with healthcare professionals as needed.

By following these steps, you can create a Health Tracking Form that streamlines data collection, improves health monitoring, and supports better communication between all parties involved. Jotform’s intuitive tools and flexible features make it easy to adapt your form to any health tracking scenario.

Frequently Asked Questions

1. What is a Health Tracking Form?

A Health Tracking Form is a digital document used to record and monitor various health-related data, such as symptoms, medications, exercise, or nutrition, over time. It helps individuals and healthcare providers keep track of health trends and make informed decisions.

2. Why are Health Tracking Forms important?

Health Tracking Forms are important because they centralize health information, making it easier to identify patterns, manage chronic conditions, and communicate effectively with healthcare professionals.

3. What information is typically included in a Health Tracking Form?

Common fields include dates, symptoms, medication names and dosages, vital signs, activity types, meal logs, mood ratings, and notes for additional observations.

4. Are there different types of Health Tracking Forms?

Yes, there are many types, such as symptom trackers, medication logs, fitness and exercise journals, nutrition trackers, and mental health mood diaries, each tailored to specific monitoring needs.

5. Who can use Health Tracking Forms?

Anyone can use these forms, including patients, caregivers, healthcare professionals, fitness coaches, nutritionists, and organizations running wellness programs.

6. How do Health Tracking Forms help with chronic disease management?

They enable consistent monitoring of symptoms and treatments, helping patients and providers detect changes early, adjust care plans, and improve health outcomes.

7. Is the information collected in Health Tracking Forms private and secure?

When using platforms like Jotform, data is stored securely and can be protected with encryption and access controls, ensuring privacy and compliance with regulations like HIPAA (when enabled).

8. Can Health Tracking Forms be customized for specific conditions or needs?

Absolutely. Forms can be tailored with custom fields, conditional logic, and design elements to suit any health condition, age group, or monitoring requirement.