Streamline Care with a Comprehensive Form
New Patients Case History Form
Get Complete Patient Insights Before Their First Visit
Secure Checkout
🔒 Checkout with Confidence — SSL Secure & Encrypted
New Patients Case History Form
Template
$80 (USD 🇺🇸)
File Format
Adobe InDesign
Product Overview
Say goodbye to paper forms!
The Patient Case History Form from Sprout Your Practice is a fully interactive PDF designed for modern clinics and wellness practices.
Easily collect essential client information before their first appointment—no printing, scanning, or handwriting required.
Streamline your intake process, save time, and ensure you have all the details you need to deliver personalized care from day one.
What's Inside
Interactive PDF—clients can fill out and submit digitally (no more paper!)
Personal & Contact Information fields
Health history, lifestyle, and family background sections
Detailed symptom checklists and activity level tracking
Medication, supplement, and dietary intake logs
Environmental and emotional wellness questions
Easy-to-complete daily wellness and symptom charts
Practitioner notes and legend (for your internal use)
Clear, organized layout for quick review and better client conversations
Font Used
This template uses the Google Font “Nunito,” which is free and accessible for both personal and commercial use.
Full font package is included with your download—no extra purchase or licensing required.
Software Requirement
You’ll need an active Adobe InDesign (INDD) app to open and use this file.
Adobe offers a free 7-day trial so you can access and edit your file without a subscription.
🔄 Refunds and Policies
All products are delivered as digital downloads and are non-refundable.
Need help choosing the right template?
Email [email protected] — we’re happy to assist!