Hospital Admission Form Templates (36 Free Downloads in MS Word)

Every hospital, clinic, and healthcare facility requires accurate and well-structured admission forms to ensure safe, compliant, and efficient patient intake. To help medical professionals streamline administrative workflows, we have created 36 professionally designed Hospital Admission Form Templates available in free, editable MS Word format.

Whether you manage a large hospital, a small practice, an emergency department, or a specialty clinic, this page provides ready-to-use admission forms for general patients, maternity and pediatric cases, surgical procedures, special populations, and more. Each template includes essential fields commonly used in real clinical settings, such as medical history, presenting complaints, vitals, diagnosis, treatment plan, consent, and administrative details.

These templates are ideal for:

• Hospitals & private clinics
• Maternity centers & pediatric units
• Surgical and rehabilitation facilities
• Emergency departments & trauma units
• Hospice, palliative care, and psychiatric settings
• Medical schools, healthcare students, and training programs

All forms are designed to be:

• Easy to edit in Microsoft Word
• Printable and reusable
• Professionally formatted
• Suitable for real-world clinical workflows

Use these templates to improve documentation accuracy, maintain compliance, and save time during patient admissions.

Download Free Hospital Admission Form Templates (Editable Word Format)

Below you will find all 36 admission form templates, each with a preview image, a short description, and a direct link to the download page. Click on any template to learn more or download the editable Word file.

1. Department-Specific Admission Forms

Admission templates tailored for cardiology, infectious diseases, neurology, pulmonology, orthopedics, oncology, gastroenterology, and nephrology departments. These forms include specialty-specific fields to ensure accurate clinical documentation.

Cardiology Admission Form

A structured template for recording cardiac symptoms, ECG findings, vitals, and initial diagnostic assessments. Ideal for cardiology units and emergency admissions.

Infectious Diseases Admission Form

Includes exposure history, symptoms duration, serology, vitals, and isolation planning fields for infectious disease cases.

Nephrology Admission Form

Covers CKD history, dialysis background, renal symptoms, medications, and nephrology-specific treatment planning.

Pulmonology Admission Form

Designed for respiratory admissions, including asthma, COPD, TB history, chest exam findings, and investigation checklists.

Gastroenterology Admission Form

A GI-focused form to document abdominal complaints, GI history, surgical history, and family predispositions.

Orthopedic Admission Form

Captures trauma type, injury details, surgical planning, and orthopedic history for acute and elective orthopedic cases.

Neurology Admission Form

Includes neurological symptom checklists, history sections, and fields for neurological examination and treatment plans.

Oncology Admission Form

Detailed form for cancer patients, including diagnosis, symptom tracking, investigation history, and treatment planning.

2. General & Administrative Admission Forms

Standard hospital admission forms used for outpatient visits, emergency admissions, inpatient admissions, pre-surgical checklists, ICU admissions, and more. Ideal for hospitals and clinics of all sizes.

Outpatient Admission Form

Standard OPD admission for documenting personal information, insurance details, medical history, and the reason for visit.

Pre-Admission Checklist Form

A check-off form to verify identity documents, consent, medical records, fasting instructions, and pre-op assessments.

Consent for Admission Form

A general consent document explaining patient responsibilities, diagnostic approvals, and financial acknowledgement.

Surgical Admission Form

Includes surgery details, anesthesia plan, medical history, and pre-op requirements for elective or scheduled procedures.

ICU Admission Form

Captures critical care data such as consciousness level, vitals, reason for ICU transfer, and initial diagnosis.

Day Care / Short-Stay Admission Form

Designed for minor procedures requiring short observation periods and includes treatment plans and consent.

General Hospital Admission Form

A universal form suitable for most hospital admissions, including demographics, medical history, and consent.

Emergency Admission Form

Captures emergency arrival details, mode of arrival, initial diagnosis, and consent for urgent treatment.

Inpatient Admission Form

Includes insurance information, medical notes, provisional diagnosis, and consent for inpatient stays.

3. Pediatric & Maternity Admission Forms

Specialized forms designed for pregnancy care, labor and delivery, maternity admissions, neonatal NICU intakes, and pediatric patients.

High-Risk Pregnancy Admission Form

Documents risk factors, fetal status, vitals, and planned interventions for high-risk obstetric cases.

Gynecology Admission Form

Covers menstrual history, gynecologic conditions, pelvic exam findings, and treatment plans.

Obstetrics Admission Form

Designed for labor and delivery admissions, including presenting complaints, fetal heart rate, cervical status, and birth planning.

Maternity Admission Form

General maternity intake for documenting pregnancy history, medications, complications, and delivery expectations.

Neonatal Admission Form (NICU)

A detailed NICU form capturing Apgar scores, vital signs, treatments, and neonatal conditions.

Pediatric Admission Form

Includes immunization status, family medical history, presenting complaints, and consent for pediatric patients.

4. Procedure & Case-Based Admission Forms

Forms created for specific clinical situations such as elective surgery, trauma cases, burns, transplant admissions, dialysis, isolation/quarantine, post-operative readmissions, and clinical trials.

Elective Surgery Admission Form

For scheduled procedures, including surgery type, surgeon details, medical history, and pre-op checklist.

Clinical Trial / Research Admission Form

Includes protocol details, study arm, participant ID, and consent date for research enrollment.

Post-Operative Readmission Form

Captures complications, presenting complaints, and treatment plan for patients returning after surgery.

Transplant Admission Form

Documents transplant type, donor information, lab markers, and consent status for transplant candidates.

Dialysis Admission Form

Includes dialysis type, access site, medical history, and consent for dialysis treatment.

Isolation / Quarantine Admission Form

Used for contagious or high-risk infectious patients, including symptoms, exposure history, and precautions.

Burns Unit Admission Form

Documents burn cause, severity, associated trauma, and initial assessment for burn patients.

Trauma / Accident Admission Form

Captures accident details, GCS score, injuries, emergency treatment, and consultant assignment.

5. Special Population Admission Forms

Templates created for populations requiring tailored documentation, including geriatric patients, psychiatric cases, substance-abuse detox admissions, rehabilitation, and hospice/palliative care.

Geriatric Admission Form

Includes chronic illness history, functional assessments, caregiver details, and aging-specific needs.

Palliative Care / Hospice Admission Form

Documents symptoms, comfort needs, advance directives, and preferred care settings.

Rehabilitation Admission Form

For physical, occupational, or substance-related rehabilitation intake, including goals and history.

Substance Abuse / Detox Admission Form

Captures substance history, detox protocol, therapy plans, and voluntary consent.

Psychiatric Admission Form

Includes psychiatric history, mental status examination, presenting complaints, and treatment plan.

What Is a Hospital Admission Form?

A hospital admission form is an essential medical document used during the patient intake process. It collects important information about the patient, including personal details, medical history, present complaints, vital signs, allergies, insurance details, and consent for treatment. These forms help ensure safe, accurate, and efficient communication between patients, doctors, nurses, and administrative staff.

Hospital admission forms also provide a standardized structure for documenting symptoms, initial diagnosis, and treatment plans — helping healthcare providers deliver effective and consistent care.

Why Are Hospital Admission Forms Important?

Hospital admission forms are crucial because they:

• Ensure accurate documentation of patient information
• Improve communication between healthcare departments
• Assist doctors in assessing medical risks and history
• Support informed decision-making and treatment planning
• Provide legal consent and compliance documentation
• Reduce errors and streamline workflows
• Enhance patient safety and care quality

Proper documentation at the time of admission lays the foundation for the entire course of treatment. Using a standardized template reduces delays, miscommunication, and errors.

Key Information Included in Hospital Admission Forms

Although each department may require unique documentation, most hospital admission forms include:

• Patient demographics
• Emergency contact details
• Medical and surgical history
• Allergies and current medications
• Presenting complaints and symptoms
• Vital signs and initial examination findings
• Provisional diagnosis
• Planned treatment, procedure, or intervention
• Insurance and billing details
• Consent for admission or procedure

These structured sections allow medical staff to quickly gather a complete snapshot of the patient’s condition.

Benefits of Using Editable Admission Form Templates

Using pre-made hospital admission templates offers many advantages:

Time-saving

Healthcare staff can quickly fill out forms without needing to design new documents.

Improved accuracy

Templates ensure all required fields are included, reducing the risk of missing important information.

Professional formatting

All templates are designed to meet clinical documentation standards.

Fully customizable

Edit any section to match your hospital’s workflow, branding, policies, or specialty.

Better compliance

Standardized forms help organizations meet medical record-keeping guidelines.

Free and reusable

You can download, edit, and print the templates as many times as needed.

Who Can Use These Templates?

These templates are useful for a wide range of healthcare providers and staff, including:

• Hospitals and medical centers
• Private clinics and specialty departments
• Maternity and pediatric units
• Emergency rooms and trauma centers
• Intensive care units (ICU)
• Surgical, dialysis, and transplant units
• Rehabilitation and psychiatric facilities
• Nursing schools and medical training programs
• Healthcare administrators and students

Anyone needing organized, reliable patient intake documentation can use these templates.

Frequently Asked Questions (FAQ)

1. Can I use these hospital admission forms for my clinic or private practice?

Yes. All templates are fully editable, printable, and suitable for hospitals, clinics, and independent healthcare providers.

2. Are the templates free to download and use?

Yes. All admission form templates on this page are 100% free and can be used for personal or professional purposes.

3. Can I customize these templates with my hospital logo?

Absolutely. You can easily add your hospital logo, contact details, and branding elements in Microsoft Word.

4. Can I convert these templates to PDF?

Yes. After customizing the template in Word, simply save it as a PDF for digital signing or printing.

5. Are these templates suitable for teaching or medical training?

Yes. Many students and educators use these templates for case studies, simulations, and clinical documentation practice.

6. Do you offer templates for specific departments or medical specialties?

Yes. This collection includes forms for cardiology, neurology, oncology, orthopedics, maternity, pediatrics, trauma, ICU, dialysis, psychiatric care, and more.

7. Are these templates legally binding?

These templates are general forms. Hospitals should review and update them according to local healthcare laws, accreditation standards, and organizational policies.

Need Help Editing These Templates?

If you need help customizing these forms with your hospital logo, branding, or formatting, feel free to contact us. We’ll guide you step-by-step.

Disclaimer

These templates are provided for general informational and educational purposes only. They do not constitute legal or medical advice. Hospitals and healthcare providers should review and customize each form according to their local regulations, accreditation requirements, and organizational policies. By downloading and using these templates, you agree that the website is not liable for any outcome arising from their use.