Medical History & Forms

Bloomington Hospital

812.353.9475
601 West Second Street, Bloomington

Your personal and family medical history holds important information to keep you healthy. Many common conditions (such as heart disease, cancer, diabetes, mental illness, osteoporosis, birth defects, and memory loss) are passed down through families. By knowing what diseases may occur in your family — and sharing this information with your doctor — you and your family can receive the best possible health care. What's most important about your medical history is maintaining accurate, complete records.

You may find the following information helpful as you track your medical history:

• Medical Consent Form for Parents
• Locating Birth Certificates
• Advance Directives
• Medical Records
• Personal Medication Records