Complete Medical History Form: Fill & Download for Free

I was adopted over 60 years ago as a 1 month old infant. A few years ago Illinois changed it’s records laws and I was able to get my birth father’s first name and my birth mother’s last name. Not enough to close the circle. Then my birth father and I independently took AncestryDNA tests. That gave me his last name. He was prominent in the community and his home phone was listed.I called the number, said I was Dave Ptasnik from Seattle, that I was doing genealogical research, and thought it was possible we were related. He invited me to go on, so I asked him about some things I had researched about his past. There is hiding from the internet. Including if his name was Earl Bryant Anderson and if he dated a woman named Doore at so and so high school in the summer of 1956. “Oh, you mean Judy” (HA! Gotcha mom.) I said that she was indeed the one I meant, and that I was probably his and Judy’s son. His first reaction was that Judy had dated a lot of other guys (nice, dad. Throw mom under the bus and go into denial mode) Then I explained that he was a 100% match from a DNA test. That it was just like they do on Maury Povich or Jerry Springer.I said that I was open to more contact, but would really appreciate family health information so I could give my doctors some relevant information. The call ended cordially. I sent off the family health history form to him and his two surviving children. One child had died in a traffic accident years ago. Seems I still have a half brother and half sister on his side. I did not receive any of the forms back. I did, however receive a threatening letter from his lawyer ordering me to never contact him, any of his family, or pretty much anyone else in the lower 48 states again. So that’s how my birth dad reacted.On to my birth mother, Judith Anne Doore. Same drill with the phone call. When I said I believed I was her son by Earl she quietly said “I don’t want to have this conversation.” and hung up. I have one half brother and two half sisters on Judy’s side. I sent Judy and all my half siblings an explanation letter and medical history forms. No forms returned. Thanks mom. That is her reaction.My reaction? Feeling particularly fortunate to have been adopted by my awesome parents Tom and Betty Ptasnik.The story may not be complete. This past year I have had a meningioma brain tumor removed, as well as pre-cancerous intestinal polyps. All of that can run in families. I am going to send all of them a warning that they should get checked out if they are having any neurological symptoms (I was warned by losing my sense of smell), or haven’t had routine colon screening. I will also send them family health forms again to try to find out what other little surprises may be waiting for me.Cheers

Creating an online form that's actually fun for a user to fill comes down to doing two key things:1. Making sure the design is eye-catching and full of interactive elements.2. Keeping the form as short as possible and easy to use.You can use an online form builder like Paperform to achieve both things easily. Take this form on Paperform as an example:0:00-0:30Source: Paperform (Medical History and Present Medical Condition Questionnaire)You can see that certain visual elements make this form quite fun to interact with. Medical history forms can be notoriously boring and time-consuming to complete, but by breaking it up into several pages, the form becomes easy to fill. The slider at the bottom gives the user a feeling of achievement after completing each step, and the buttons are colourful and satisfying to press because of the animation.Disclaimer: I'm a co-founder of Paperform, and thus might be a bit biased.

I am an adoptee. I was adopted when I was few months old. At the time of this encounter with a doctor, I did not know anything about my birth parents other than they were both teenagers when I was born.Every doctor I have ever seen has asked for medical history from my biological family. My primary physician that I had for several years had recently retired and I had to find someone new. A coworker had recommended a particular doctor, so I signed up to have him as my PCP fir the purpose of my insurance plan. I had no immediate need to see him, however I was pregnant at the time and my obstetrician was taking care of anything I needed at that time.After my daughter was born, I decided to get acquainted with my new doctor. I made an appointment and was given the usual clipboard and forms to complete. Of course it asked about family medical history and as usual, I left it blank.When I was called into the exam room, Dr A asked me why I left the history portion blank. When I explained that I was an adoptee. He glared at me and told me that in his native country (India) that being adopted meant that you were a discarded, unworthy person who was the lowest of the low. I was essentially told by this doctor that I was equivalent to a piece of fecal matter.I was in shock and didn't say a word. Being only a few weeks postpartum, my moods were a mess. I stayed for the appointment and cried as soon as I reached my car.I really wish I had reported this man to the board of medicine. I have never been so insulted by anyone ever in my whole life. I didn't have time to locate a new doctor since I was a new mom and was soon returning to work. I had to endure this man until I could find someone else who was accepting new patients.I am so glad that I will never see that awful man ever again.