Medical Intake (Fillable PDF)
A fillable PDF patient-intake AcroForm — demographics, sex radios, reason-for-visit, allergies, medications, and a consent checkbox. A sample layout only — never enter real medical data.
Rendered preview of the pdf file (16 KB). Download above for the original.
Specifications
- Fields
- 10
- Field Types
- text, choice, checkbox, radio, multiline
- Fillable
- true
- Macros
- false
- Javascript
- false
What is a .pdf file?
PDF (Portable Document Format) is a page-oriented document format that preserves fixed layout, fonts, vector and raster graphics, and text across platforms. It can also embed forms, annotations, attachments, and digital signatures. It is the de facto standard for finished, print-ready documents.
How to use this file
Use an example PDF to test text extraction, rendering, page-count and metadata parsing, form-field handling, and conversion or OCR pipelines.
Generated by generation/forms_acroform.py. Free for any use, no attribution required — license.