Home
Forms Library
Health Status Report Form

Health Status Report Form 2025

Health Status Report Form Preview on Page 1

Show details

4.8 out of 5

141 votes

The document is a FAA Gender Dysphoria Mental Health Status Report that outlines the requirements for mental health evaluations of airmen diagnosed with gender dysphoria. It mandates adherence to WPATH guidelines and includes sections for psychiatric history, treatment details, current mental health status, and provider verification. The report aims to ensure that the airman meets specific mental health criteria before certification.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The fastest way to redact Health Status Report Form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the greatest editor for changing your documents online. Follow this simple instruction to edit Health Status Report Form in PDF format online at no cost:

Register and sign in. Register for a free account, set a secure password, and proceed with email verification to start managing your templates.
Add a document. Click on New Document and select the form importing option: upload Health Status Report Form from your device, the cloud, or a protected link.
Make changes to the sample. Use the upper and left-side panel tools to modify Health Status Report Form. Add and customize text, images, and fillable areas, whiteout unnecessary details, highlight the significant ones, and provide comments on your updates.
Get your documentation completed. Send the sample to other people via email, create a link for quicker file sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail added.

Try all the advantages of our editor today!

See more Health Status Report Form versions

We've got more versions of the Health Status Report Form form. Select the right Health Status Report Form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (141 Votes)
2016	4 Satisfied (39 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is an example of a health status?

Examples include functional health, disability days, activity limitation, health expectancy, disability free life expectancy.

What is the meaning of health status?

Health status is a measure of how people perceive their healthrating it as excellent, very good, good, fair, or poor. Reported health status is a predictor of important health outcomes including mortality, morbidity, and functional status (14). It is considered a good global assessment of a persons well-being (4).

What is a health status form?

A health status report form is a form used by healthcare providers to collect information about a patients health and well-being. Whether you own or manage a clinic, hospital, or private practice, use this free Health Status Report Form to collect information about your patients!

What is the meaning of patient health status?

Health Status: Definition and Measurement More specifically, health status can be defined as the range of manifestation of disease in a given patient including symptoms, functional limitation, and quality of life, in which quality of life is the discrepancy between actual and desired function (Figure 1).

What is an example of a medical status?

How to fill out the Periodic Health Assessment Form Instructions? Begin by entering your personal information. Review and confirm your health history. Document any medications you are currently taking. Provide information on any recent hospitalizations or surgeries. Complete the health risk assessment sections.

What is a health status assessment?

Assessments of a health-related matter of interest, importance, or worry to a patient, patients family, or patients healthcare provider that could identify a need, problem, or condition.

Health Status Report Form 2025

Here's how it works

The fastest way to redact Health Status Report Form online