What Is a Health Screening Form?

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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.

Free Health Screening Forms and Templates

Documents:

Health Information Form - City of Philadelphia, Pennsylvania

Psychosocial Assessment Template

8 Dimensions of Wellness Personal Assessment Worksheet