Patient Health Questionnaire Template

Clone this patient health questionnaire to your 123FormBuilder account to make it your own. It's a breeze to customize it in any way you need.

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About this template

If you’re a healthcare provider, this patient health questionnaire template can help you efficiently examine the patient’s health condition. Use the questionnaire form to securely collect essential data about their mental health and understand their medical evolution. Clone this patient health questionnaire to your 123FormBuilder account to make it your own and add HIPAA-compliant features. If you’re new around here, learn more about our forms and surveys tool and see if 123FormBuilder fits your needs.

Frequently Asked Questions

What does the patient health questionnaire assess?

A patient health questionnaire evaluates the patient’s health condition and is an effective tool to screen for mental health disorders.

How do you create a patient health questionnaire?

Whether it’s your first time creating a patient health questionnaire or you’re looking for a better option, our template can come in handy, as it offers you a predefined structure to start building on. You can find it in your 123FormBuilder account and customize it in any way you need. Depending on the type of patient health questionnaire (PHQ-9 or PHQ-4), define your questions and use our friendly drag and drop tool and the coding-free experience to build your version.

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