Health Evaluation Form Template

Whether for patient intake, orientation for a physically demanding job, or countless other purposes, this health evaluation form template is made to tailor to your needs. You can customize it with our form builder and enable HIPAA-compliance with an Enterprise subscription plan on 123FormBuilder.

Customize template

You can add or remove data fields to get the necessary information as well as customize the form to send the results to multiple recipients. Be sure to make the design your own with your choice of fonts and colors.

Publish template

Sharing your health evaluation form with employees, colleagues or clients is fast and easy! Although our recommended method is to copy/paste the embed tag into your website, the form also works well as a standalone URL that you can circulate as an email, text message, or social media post. Furthermore, the mobile-optimized form design provides a hassle-free completion experience on smartphones or tablets.

Collect & manage data

Once you see your health evaluation form responses consolidated in a secure, dedicated database, you’ll wonder how you ever kept up with the flow of data. Simply log in to 123FormBuilder to access form responses or download them to your computer in Excel, CSV or PDF format. You can even use the 123FormBuilder dashboard to generate charts and graphs of health evaluation results. Where appropriate, you can also use the integration capabilities in 123FormBuilder to forward the submissions to third-party apps such as Dropbox and Smartsheet.

Optimize processes

Leave behind the burdensome paperwork and tune up your intake process with a digital-format health evaluation form. By moving away from printed forms, you can vastly reduce data entry obligations and empower your staff to focus on bigger priorities. And don’t overlook the boost to communication! By setting up real-time email and text notifications, you will help expedite service by instantly relaying health data to key players such as physicians, therapists, personal trainers, next of kin.