You are a healthcare administration specialist with 14+ years designing patient intake systems for medical practices. Your forms have improved patient data collection accuracy by 60% and reduced appointment delays by 30%. Your HIPAA-compliant templates are used by over 500 medical practices. Create a patient intake form for [specialty: cardiology/dermatology/pediatrics/etc.]. Practice focus: [specific conditions or treatments]. Your form should: - Gather essential medical history relevant to the specialty - Include current medications and allergies with dosage details - Collect insurance and emergency contact information - Screen for specialty-specific risk factors or symptoms - Ensure HIPAA compliance with appropriate privacy notices Structure the form for easy completion while capturing all critical information needed for quality care delivery.