Inkuntri
Korean Domain language

Korean Medical Intake Forms: 문진표, 병력, 알레르기, 동의

The reader can identify Korean medical-intake form fields for symptoms, medical history, allergies, medications, pregnancy, consent, emergency contact, and personal-information collection, while treating the domain...

Published January 3, 2026 Korean

Core examples: 문진표, 병력, 알레르기, 동의, 복용약, 임신 여부, 증상, 과거력, 개인정보.

A checkbox can change the conversation

A hospital form asks:

현재 복용 중인 약이 있습니까? 알레르기가 있습니까? 임신 가능성이 있습니까? 개인정보 수집 및 이용에 동의하십니까?

These are short questions. They are also high-stakes. A learner who guesses from gist may answer incorrectly about medication, allergy, pregnancy, or consent.

The key principle is:

Medical intake Korean is compressed risk language.

This article is not medical advice. It helps readers identify fields and ask for help when needed.

문진표

문진표

means medical questionnaire/intake form.

Related:

작성하다 fill out/write

해당 사항 applicable item

체크하다 check/mark

있음 / 없음 present / absent, yes / no

예 / 아니오 yes / no

A clinic may ask:

문진표를 작성해 주세요. Please fill out the intake form.

Learner action: 문진표 is the first medical-document genre to recognize.

병력

병력

means medical history.

Related:

과거력 past medical history

가족력 family history

수술력 surgical history

입원력 hospitalization history

질환 disease/condition

Example:

과거 병력이 있으십니까? Do you have any past medical history?

Learner action: 병력 asks about health history, not military history in this medical context.

알레르기

알레르기

means allergy.

Related:

약물 알레르기 drug allergy

음식 알레르기 food allergy

알레르기 반응 allergic reaction

두드러기 hives

호흡곤란 breathing difficulty

Medical forms may ask:

약물 또는 음식 알레르기가 있습니까? Do you have drug or food allergies?

Learner action: do not soften allergy into preference. Mark clearly if relevant.

동의

동의

means consent/agreement.

Related:

동의서 consent form

개인정보 수집 및 이용 동의 consent to collection and use of personal information

선택 동의 optional consent

필수 동의 required consent

동의함 / 동의하지 않음 agree / do not agree

Consent language may relate to treatment, procedure, privacy, or information sharing.

Learner action: identify what you are consenting to.

복용약

복용약

means medication being taken.

Related:

복용 중인 약 medication currently being taken

처방약 prescription medicine

건강기능식품 health functional food/supplement, context-specific

복용량 dosage amount

복용 횟수 frequency of taking

Forms may ask:

현재 복용 중인 약을 모두 적어 주세요. Please write all medications you are currently taking.

Learner action: 복용 relates to taking medicine orally, but forms may use it broadly for current medications.

임신 여부

임신 여부

means whether one is pregnant / pregnancy status.

Related:

임신 가능성 possibility of pregnancy

수유 중 breastfeeding

생리 menstruation

해당 없음 not applicable

This field may affect tests, medication, imaging, or treatment.

Learner action: if relevant and uncertain, ask staff. Do not guess.

증상

증상

means symptoms.

Related:

통증 pain

발열 fever

기침 cough

어지러움 dizziness

두통 headache

설사 diarrhea

Forms often ask:

어떤 증상이 있으십니까? What symptoms do you have?

증상이 언제부터 시작되었습니까? When did the symptoms start?

Learner action: mark symptom, start time, severity, and location.

개인정보

개인정보

means personal information.

Medical forms often include privacy notices.

Phrases:

개인정보 수집 및 이용 collection and use of personal information

민감정보 sensitive information

제3자 제공 provision to a third party

보유기간 retention period

이용목적 purpose of use

Learner action: privacy consent and medical intake may be on the same page but are different functions.

Form-field table

Korean fieldMeaningReader action
성명nameidentity
생년월일date of birthidentity
연락처contact numbercontact
증상symptomscurrent issue
발병일date of onsettime
병력medical historyhistory
과거력past historyprior conditions
가족력family historyfamily risk
알레르기allergysafety-critical
복용약current medicationsafety-critical
임신 여부pregnancy statussafety-critical
동의consentlegal/medical/privacy action

Checkbox language

Common options:

있음 yes/present

없음 no/absent

해당 있음 applicable

해당 없음 not applicable

예 / 아니오 yes / no

동의함 / 동의하지 않음 agree / do not agree

Learner action: check whether the question is positive or negative before marking.

Example form question walkthrough

최근 2주 이내 발열, 기침, 호흡곤란 등의 증상이 있었습니까?

Breakdown:

최근 2주 이내 within the last two weeks

발열, 기침, 호흡곤란 등 fever, cough, breathing difficulty, etc.

증상이 있었습니까 did you have symptoms?

Plain meaning:

Have you had symptoms such as fever, cough, or breathing difficulty within the past two weeks?

Learner action: time window matters.

High-stakes warning terms

Watch closely for:

알레르기 allergy

복용약 medication

임신 pregnancy

금식 fasting/no food

동의 consent

부작용 side effect/adverse reaction

응급연락처 emergency contact

개인정보 personal information

If uncertain, ask staff rather than guessing.

Example bank walkthrough

문진표

Medical intake questionnaire.

Learner action: form genre.

병력

Medical history.

Learner action: past/current medical background.

알레르기

Allergy.

Learner action: safety-critical.

동의

Consent.

Learner action: identify consent object.

복용약

Medication being taken.

Learner action: list accurately.

임신 여부

Pregnancy status.

Learner action: answer carefully if relevant.

증상

Symptoms.

Learner action: current problem.

과거력

Past medical history.

Learner action: prior conditions/surgery.

개인정보

Personal information.

Learner action: privacy/collection notice.

Medical-intake workflow

When completing or reading a Korean medical intake form:

  1. Identify patient identity fields.
  2. Find current symptom section.
  3. Mark onset time and severity if asked.
  4. Identify medical history fields.
  5. Answer allergy section carefully.
  6. List current medications.
  7. Check pregnancy/breastfeeding fields if relevant.
  8. Separate treatment consent from privacy consent.
  9. Check required signature/date.
  10. Ask staff for clarification on any safety-critical item.

Medical form risk-ranking table

Some form fields are routine; others affect care directly.

FieldKoreanRisk level
identity성명, 생년월일administrative
contact연락처, 응급연락처follow-up/emergency
current symptoms증상, 발병일clinical
medical history병력, 과거력clinical
family history가족력clinical/contextual
allergy알레르기safety-critical
medication복용약safety-critical
pregnancy임신 여부safety-critical
consent동의legal/medical/privacy
personal info개인정보privacy/legal

If uncertain on safety-critical fields, ask staff rather than guessing.

Checkbox polarity warning

Korean medical forms may use:

OptionMeaning
있음yes/present
없음no/absent
해당 있음applicable
해당 없음not applicable
동의함agree
동의하지 않음do not agree
yes
아니오no

Always read the question before marking. A yes/no answer to a negative question can reverse the intended meaning.

Separate these sections:

  1. patient symptom/history intake,
  2. treatment/procedure consent,
  3. privacy/data consent,
  4. optional marketing/research consent if present.

동의 does not always refer to the same action.

A strong tool for this article would highlight risk fields.

Suggested functions:

  1. Field-type labels.
  2. Symptom/time-window highlighter.
  3. Allergy warning.
  4. Medication field popover.
  5. Pregnancy-status caution.
  6. Consent-section divider.
  7. Plain-language paraphrase.

Final rule

Medical intake Korean is ordinary-looking but high-stakes.

문진표 organizes the visit. 병력 and 과거력 give medical history. 알레르기 and 복용약 protect safety. 임신 여부 can change treatment. 동의 and 개인정보 define consent and privacy.

When the field affects care, do not guess.

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