Category: Sample Forms

Fibromyalgia Journal Template

Fibromyalgia Journal

Fibromyalgia is a musculoskeletal disorder. As the name indicates, it causes pain in the muscles and joints. It is a chronic disease with remissions and affects mostly the female population. Etiology of fibromyalgia The exact cause and mechanism of fibromyalgia are unknown, but it is proposed that fibromyalgia occurs due to pro-inflammatory mechanisms in the pain pathways of the body....

Baby Food Allergies Log

Baby Food Allergies Log

Allergy, or hypersensitivity, is one of the body’s defense mechanisms by which the body reacts and fights an unwanted or foreign body, and the rejection shows us in the form of an allergy. Sometimes, our bodies react in such a drastic way that it becomes difficult for an individual to survive. For example, an asthmatic patient allergic to pollens may...

Athlete Physical Fitness Form

Athlete Physical Fitness Forms

Physical fitness is an idea that has been prevalent since the origin of humankind. It is a state of physical health and well-being in which a person can perform daily routines and special activities requiring high energy levels and endurance. Physical fitness, being the aim and source of happiness and well-being in a person’s life, is one of the most...

Health Record Tracker for Adults

Health Record Tracker for Adults

It is important to track one’s health so that you can make informed decisions, find out any potential issues early on, and progress towards a healthier life. Without health, one cannot function properly. It is better to find out if you have any issues at an early stage so that they can be solved on time. For this, it is...

Weekly Diabetes Medication Tracker

Weekly Diabetes Medication Tracker

Diabetes mellitus is a syndrome that involves multiple organs and systems in the human body. This means that proper management and treatment of diabetes are necessary. Those who are already familiar with the pathophysiology of the disease will agree with the fact that the complications and effects of diabetes mellitus can be delayed with proper treatment and management. The first...

Foley Catheter Care Record Form

Foley Catheter Care Record Form

Foley’s catheter is a well-known catheter in urology and surgery. It is a flexible tube that is passed into the urinary bladder through the urethra to drain urine out of the urinary bladder. History of Foley’s Catheter Rubber catheters were introduced in medical management in the 18th century. Before that, urinary catheters made of other materials were as ancient as...

Medical Appointment Record Sheet

Medical Appointment Record Sheet

The field of health and medicine is one of the pillars of a healthy and happy society. Health, as we all know, is one of the basic rights of any individual who takes birth on this earth. There was a time in human history when health wasn’t given much importance and people had to die of disease and misery. With...

Diabetes Information Card

Wallet-Sized Diabetes Information Card

Diabetes mellitus is a worldwide problem. It is considered a syndrome because it involves several metabolic events happening at the molecular level, resulting in the involvement of multiple organs and a vast variety of signs and symptoms. Due to the increasing incidence and prevalence of diabetes mellitus, researchers have concluded that raising awareness about diabetes can only be one way...

Annual Weight Loss Tracker - [Year]

Annual Weight Loss Tracker

Starting a weight-loss journey is the best decision one can make in their lifetime. Weight is directly associated with the health of people, and the importance of weight loss can never be justified, even after so much research and public awareness. A lot of diseases are associated directly with weight gain and almost all of them can be prevented by...

Physician Report Form for School Pupil

Physician Report Form for School Pupils

School-going children need to stay healthy so that there are fewer absentees from school. If a child stays sick and suffers from one thing or another, this results in increased absence from school and ultimately poor performance by the student. So, a regular checkup and physician’s report are required to know the health status and especially the immunization status of...

First Aid Treatment Form

First Aid Treatment Form

First aid is the most important thing in a medical emergency. It reduces the negative impact of an emergency, making the patient’s recovery more possible. What is first aid? First aid is the preliminary treatment provided to a patient suffering from an acute illness or injury. First aid is the care and treatment provided to the affected to preserve life...

Dental Health History Form

Dental Health History Form

Dental health is also called oral hygiene, and it is as important as any other organ of the body. Our digestive tract begins in the oral cavity, and digestion starts right from the teeth and tongue, where enzymes are produced to digest the food we eat through the mouth. So, the oral cavity has a primary and first function in...

Beginner Runner Workout Log

Beginner Runner Workout Log

Someone said it so correctly: “Your body can endure almost anything, and it’s your brain you need to convince.” It is quite natural that, at a beginner level, your mind and body are not used to extensive workout routines and cannot cope with elevated heart rates and calorie burn. So, it is always advised that you keep your pace very...

Medical and Surgical History Form

Medical and Surgical History Form

A patient either in the outpatient or inpatient department undergoes several questions, from his presenting complaints to his history of ailments and drug intake. These questions are really important to know because a doctor is very interested in knowing the details of everything that has happened to his health in any form. Why is history asked and maintained in this...

Consent of Treatment Form for Minor

Consent of Treatment Form for Minor

According to the definition in the law, a minor is defined as a person who is less than 18 years of age. A minor is given limited rights; the rest he can claim after 18 years of age. It must all be kept in mind that the age of minors may differ from country to country. But, generally, it is...

Patient Discharge Form

Patient Discharge Forms

A patient discharge form, sometimes referred to as a patient discharge summary, is a document issued by a hospital to an admitted patient upon discharge. Who can issue a patient discharge form? An on-duty doctor or consultant can only decide whether the patient is ready to go home. Only the doctor can issue the form. Who fills out the discharge...