Free Health Screening Forms and Templates
What Is a Health Screening Form?
Depending on the situations in which they are employed in, a Health Screening Form may vary. Generally, the form seeks to efficiently and economically gather data regarding particular aspects of a person's health and determine their suitability for a given position. The form, for instance, may be used to screen potential medical staff members for contagious blood-borne illnesses.
Using the form provides a simple and effective way to identify any conditions that need further care in the context of medical care, such as immunodeficient issues and cardiac disorders that increase patients risk during surgery. The likelihood of serious medical misconduct is decreased since it aids doctors in promptly identifying individuals who are unsuitable for operations and treatments.
For a full list of Health Screening Form templates please feel free to check out our library below.
Three components make up the document: a part about the individual that is being examined, a medical part that is filled in by the medical professional performing the examination and an administrative use section. Below you can find an outline of the type of information that the form would require:
- Information about the patient including their basic personal details such as name, address, date of birth and contact details;
- The next section asks for any symptoms within the last week that the individual could have experienced;
- Any known chronic conditions should also be detailed and checked from the list;
- If the individual has or has ever had any serious infectious diseases these should also be noted down. The specific information that is required will be stated on the form, it may be possible that not all of the information concerning conditions is required;
- Details of additional conditions or surgeries can also be noted;
- The subsequent sections will be filled in by a doctor.
Still looking for a particular form? Take a look at the related forms below:
Documents:
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This form is used for conducting a comprehensive assessment of the psychosocial development and needs of adolescents. It helps identify various psychological services offered by List Psychological Services, Plc.
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This Form is used for conducting an initial evaluation of a person's psychiatric condition at Contra Costa Health Services.
This form is used for recording health screenings for students in Oregon schools. It helps to track and monitor the health of students, ensuring their well-being while they are at school.
This form is used for vaccine screening.
This Form is used for the modified screening process for individuals who are being considered for overseas assignments or sea duty. It helps assess their health conditions and determines their suitability for these types of deployments.
This form is used for carrying out a mental test and screening for delirium in individuals within the Southern NSW Local Health District.
This document is a template for a mental health questionnaire. It can be used to gather information about an individual's mental health for assessment or treatment purposes.
This form is used for assessing safety and health programs in California. It helps evaluate and identify areas that need improvement to ensure a safe working environment.
This document is a health screening tool used by the Army Child and Youth Services for evaluating the health of children and youth in their programs.
This form is used for requesting an oral health assessment or waiver. It provides important information for evaluating your oral health needs or granting an exemption.
This Form is used for obtaining consent from individuals in Utah for a Tuberculin Skin Test, a common diagnostic test for tuberculosis.
This document provides guidelines and procedures for organizing and conducting health screening events in the state of Illinois. It covers various aspects such as event planning, participant eligibility, screening methods, and reporting requirements.
This form is used for conducting a biomechanical assessment report for the Great-West Life Assurance Company. It helps identify any physical limitations or disabilities and assesses an individual's ability to perform certain tasks or activities.
This document is used for health screening of children and youth in the Army Child and Youth Services program.
This document is a form used in California to assess the health of children aged 5-8 years. It is available in Russian language.
This form is used for conducting a Staying Healthy Assessment for children aged 3-4 years in California. It is available in Arabic.
This form is used for conducting a Staying Healthy Assessment for children aged 3-4 years in California who are of Chinese descent. The assessment helps ensure the child's overall health and well-being.
This form is used for the Staying Healthy Assessment for senior individuals in California who speak Korean.
This form is used for conducting a Staying Healthy Assessment for children between the ages of 9-11 in California. It is available in both English and Tagalog languages.
This form is used for conducting a Staying Healthy Assessment for infants aged 0-6 months in California. The form is available in Armenian.
This form is used for screening the health of children and youth aged 4-5 months in the state of Missouri. It provides guidance and checklist for various aspects of their development and well-being.
This Form is used for conducting a health screening for children and youth aged 6-8 months in the state of Missouri. It provides guidelines and checklists for evaluating the health and development of infants and young children.
This form provides a guide for screening the health of children and youth who are 4 years old in Missouri. It includes important information and instructions for conducting an effective health screening.
This document is a guide for screening the health of children and youth aged 10-11 years in the state of Missouri. It provides information and guidance on various health screenings that are recommended for this age group.
This form is used for screening guide for healthy children and youth in Missouri, specifically for children aged 12-13 years old.
This document is a screening guide specifically for children and youth aged 18-19 in the state of Missouri. It provides information and guidelines for promoting and maintaining the health of young individuals in this age group.
This form is used for screening and assessing the health of children and youth aged 20 years in Missouri. It provides a guide for identifying potential health issues and ensuring the well-being of young individuals in the state.
This Form is used for conducting health screenings upon intake or reception in Montana.
This document is used for assessing the health of students in New Mexico schools. It ensures that the students are fit and healthy to participate in school activities.
This Form is used for medical and mental health screening purposes in Oklahoma.
This form is used for Adult Preventive Care and serves as a flow sheet to document a patient's preventive care visits and screenings.
This document outlines a plan for safely returning to work in the state of Vermont. It provides guidelines and measures to prevent the spread of COVID-19 in the workplace.
This form is used for the intake screening process at an Adult Day Center in Pennsylvania. It helps evaluate the eligibility and needs of individuals seeking care at the center.
This form is used for documenting a student's health record in Hawaii. It includes information about the student's medical history, immunizations, and any health conditions.
This form is used for applicants in California to fill out a health questionnaire. It gathers information about the applicant's health status for evaluation purposes.
This document is used for recording the annual health and medical information of Boy Scouts in the United States. Parts A and B cover different sections of the form.
This document is for conducting health assessments and screenings for Child Youth and School Services employees.
This Form is used for screening individuals for symptoms of Covid-19 in the state of Michigan.
