HelloForms
Daycare Forms · community shared

Child Medical Information Form — shared by the community

Marta K. shared this 19-question build with 3 conditional rules already wired up. Test it below, then take a copy.

A ready-to-use daycare forms form for small teams who need a reliable intake process: 19 questions, 3 pages, 3 conditional rules.

Shared by
Marta K. · Practice manager
Questions
19
Replies
21
Copies taken
806
See the library version

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Live preview and test console

This is the real form. Answer it to test the 3 conditional rules — nothing is sent or stored.

Page 1 of 3 — The basics

Medical information

Include your country code.

Only if your centre needs it for treatment — leave blank otherwise.

Every question on this page is currently visible.

Works for you? Take Marta K.'s copy into your own workspace — questions, rules and settings included.

Who this template is for

Child Medical Information Form is built for small teams who need a reliable intake process who need to collect the same complete information from everyone.

  • Small teams who need a reliable intake process working in daycare forms.
  • Teams who need to collect the same complete information from everyone without writing code or paying for a custom build.
  • Anyone replacing chasing missing details over email with one structured record per enquiry.
  • Respondents are the people you send it to — the form asks them 19 questions across 3 screens.

Why this form is useful

It removes the cost of chasing missing details over email and turns each submission into a record your team can act on immediately.

  • 9 questions are required, so submissions arrive complete instead of needing a follow-up email.
  • It captures a phone number for urgent follow-up.
  • It accepts a document or photo upload as evidence.
  • It records a signature you can keep as proof of agreement.
  • It pins the request to a specific date.
  • It allows multiple selections without free text.
  • Conditional logic hides 3 questions until they are relevant — shorter forms convert better than long ones.
  • Splitting the form across 3 pages keeps each screen short and shows respondents how much is left.

How to use this template

From copy to live form is a few minutes of work, and every step is reversible.

  1. 1Press “Use this template” — a fresh copy of Child Medical Information Form lands in your workspace, ready to edit.
  2. 2Rename or delete any question, and change what is required. Nothing here is fixed.
  3. 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
  4. 4Check the upload limits on the file question so respondents can attach what you actually need.
  5. 5Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
  6. 6Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.

Logic and conditions blueprint

Exactly how this form behaves as it is answered — 3 conditional rules ship with it.

  • Features advanced show logic: if “Does your child have any diagnosed medical conditions?” is Yes, the form dynamically exposes “Tell us about each condition”. Otherwise that question never appears.
  • Features advanced show logic: if “Does your child take medication regularly?” is Yes, the form dynamically exposes “Which medication, and when?”. Otherwise that question never appears.
  • Features advanced show logic: if “Does your child use any equipment or aids?” is Yes, the form dynamically exposes “What does your child use?”. Otherwise that question never appears.
  • All 3 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.

What this form asks

Page 1 — The basics

  • Child's full namerequired
  • Date of birthrequired
  • Doctor or clinic namerequired
  • Doctor's phone numberrequired
  • Dentist
  • Health insurance or health card reference

Page 2 — Health picture

  • Does your child have any diagnosed medical conditions?required
  • Tell us about each condition
  • Does your child take medication regularly?required
  • Which medication, and when?
  • Does your child use any equipment or aids?required
  • What does your child use?
  • Has your child had any of these?

Page 3 — Day to day

  • Sleep and rest
  • Toileting
  • Anything about eating or drinking?
  • Upload a care plan if your doctor has written one
  • Confirmationrequired
  • Parent or guardian signaturerequired

Conditional logic in this build

  • When “Does your child have any diagnosed medical conditions?” is Yes, show “Tell us about each condition”.
  • When “Does your child take medication regularly?” is Yes, show “Which medication, and when?”.
  • When “Does your child use any equipment or aids?” is Yes, show “What does your child use?”.

Questions about this shared form

Is the Child Medical Information Form template free to use?

Yes. You can preview and test Child Medical Information Form on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.

What does the Child Medical Information Form template ask for?

It asks 19 questions across 3 pages, 9 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.

Can I edit the Child Medical Information Form form after copying it?

Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic layout, restyle it to match your brand, and set who gets notified on each submission.

How does the conditional logic in this daycare forms form work?

3 conditional rules ship with the template: Features advanced show logic: if “Does your child have any diagnosed medical conditions?” is Yes, the form dynamically exposes “Tell us about each condition”. Otherwise that question never appears. Features advanced show logic: if “Does your child take medication regularly?” is Yes, the form dynamically exposes “Which medication, and when?”. Otherwise that question never appears. Features advanced show logic: if “Does your child use any equipment or aids?” is Yes, the form dynamically exposes “What does your child use?”. Otherwise that question never appears. All rules are editable in the Logic tab.

Where do responses to the Child Medical Information Form form go?

Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.

Can I embed the Child Medical Information Form form on my own website?

Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.

Can respondents upload files?

Yes. This template includes a file upload question, so respondents can attach documents or photos with their answers. You can adjust the accepted file types and size limits on that question.

Is the signature on this form legally usable?

The template captures a drawn signature and stores it with the submission, along with the timestamp, so you keep evidence of who agreed and when. Whether that is sufficient depends on your jurisdiction and the agreement itself.

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