This is my sample Medical History Form. To be fill-out by patients who want to get checked by a physician. This form can easily gather some important information about the patient's medical history and be used as basis for their treatment.

This can also be stored as additional file of the patient, that can be used for future reference.

While this is my sample form to be used by patients for setting an appointment with a physician online. This will identify if the patient is new or an existing patient. Patients can also indicate their reason why they are setting an appointment.

This form can also help to systematically schedule appointments on a daily, weekly, and monthly basis. So patients can be informed if their chosen date is fully

booked.