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Cover image of Medical History Form
Flex
App Templates

Medical History Form

by Caspio

About this app block

Simplify the patient intake process with this secure Medical History Form App Block. Patients can easily provide details about their past and current medical conditions, medications, allergies, and lifestyle habits. Once the form is submitted, designated healthcare staff are notified by email so they can review the incoming data. All submitted data is securely captured in your Caspio database and accessible only to authorized staff. This ensures HIPAA-aligned data handling for patient history review, treatment planning, and compliance tracking. Built on Caspio Flex, this App Block is fully customizable to match your specific workflow, intake requirements, and branding. Whether you're digitizing a manual process or optimizing an existing EHR workflow, this solution reduces administrative overhead and enhances the patient experience. Need help configuring any part of it? We're here to assist..

Features

  • Collects essential information including medical conditions, medications, surgeries, allergies, family history, and lifestyle factors.
  • Designated healthcare personnel are notified by email when a new history is submitted, allowing for timely follow-up.
  • All patient-submitted data is stored securely in a Caspio table and accessible only by authorized users, meeting HIPAA-aligned best practices.
  • Easily adapt form content and email logic to fit your clinic’s specific needs or integrate with additional Caspio workflows.