It helps to convert extensive information from anamnesis forms into a clearly formulated medical report.
What You Can Do with the App
Automatically convert anamnesis information into a structured report
Summarize patient data clearly
Create complete initial reports faster
Ensure uniform and traceable documentation
Prompt (for copying)
You receive anamnesis information. Write the report with it.
Anamnesis Form - Hospital for Natural Healing Methods
Personal Data
First and Last Name: ___________________________
Date of Birth: //______
Address: ___________________________________
Phone: ___________________________________
Email: ____________________________________
Occupation: ____________________________________
Health Insurance: □ statutory □ private
Name of Insurance Company: _____________________
Current Reason
What brings you to us? _______________________
How long have the complaints existed? __________
How severe are your complaints on a scale of 1-10? ____
When do the complaints occur particularly?
□ morning □ noon □ evening □ night □ with movement □ at rest
Previous Treatments
Have you already been treated for these complaints? □ yes □ no
If yes, which therapies did you receive? ___________________
What helped? _________________________________________
What didn't help? ____________________________________
Pre-existing Conditions
Do chronic diseases exist? □ yes □ no
If yes, which? _________________________________________
Allergies/Intolerances: _______________________________
Previous operations (with date): ___________________________
Medications and Natural Remedies
Which medications do you take regularly? ______________
Which herbal medicines/dietary supplements do you take? _______________
Do you have experience with naturopathic procedures? □ yes □ no
If yes, with which? ____________________________________
Lifestyle and Constitution
Nutrition:
□ mixed diet □ vegetarian □ vegan □ other: ________________
Foods you don't tolerate: _____________________
Daily fluid intake (in liters): ____________________________
Sleep habits: Bedtime: ______ Wake time: ______
Sleep quality: □ good □ moderate □ poor
Exercise/Sports per week (type and hours): ______________
Stress level: □ low □ medium □ high
Constitutional Characteristics
Temperature perception: □ rather warm □ rather cold □ changing
Tendency to: □ sweating □ dry skin □ feeling cold
Digestion: □ regular □ irregular □ constipation □ diarrhea
Energy level throughout the day: ____________________________
Family History
Are there frequently occurring diseases in your family? □ yes □ no
If yes, which? _______________________________________
Treatment Expectations
What do you wish from the treatment? _________________
Do you have particular interest in certain naturopathic procedures?
□ Phytotherapy □ Homeopathy □ Acupuncture □ Hydrotherapy
□ Nutritional therapy □ Movement therapy □ Lifestyle therapy
□ Other: _____________________________________________
Consent
I confirm the accuracy of my information and agree to the collection, processing, and use of my data in the context of treatment.
Date: //______ Signature: _________________________How to Use the App
Insert the completed anamnesis information
Have a structured report created from it
👉 Example:
"Create an anamnesis report based on the following information."
Documents for Better Results (recommended)
For optimal results, you can store additional documents:
Anamnesis forms (as above)
Internal report templates
Sample reports
Medical guidelines
👉 The assistant thereby creates more structured and consistent reports.
⚠️ Note
The generated content serves as support and must be medically reviewed before use.
The responsibility for content accuracy lies with the medical professionals.
