Demographics, reason for visit, current medications and allergies — everything the clinician needs before the appointment.
What's included
This template asks for medical history, allergies and health details.
Unda Forms is hosted in Nairobi, Kenya, but parts of the service run outside Kenya — email, for example. See the list of providers. Health data carries extra obligations under Kenya's Data Protection Act; check them with your adviser before collecting real responses.
Recommended for
A few questions about you and your health so your clinician has the full picture. It takes about 5 minutes and you can stop and come back.
Preview mode — this is the real form renderer, but responses are not submitted.
