Free genogram template

Medical Genogram Template (Free, Editable)

Track hereditary conditions and genetic risk factors across three generations of family health history.

Updated October 2026 · PDF, PowerPoint, PNG and SVG · no sign-up

Quick answer

A medical genogram template is a three-generation family health history diagram. Each relative gets a standard symbol, shaded or labelled for conditions, with age at onset and cause of death, so hereditary patterns such as cancer, heart disease or diabetes stand out. GenogramAI offers it as a free printable PDF and as an editable online example.

Open in GenogramAI (free) Download blank PDF

Download the medical genogram template

Free files, no sign-up or email. Print the blank, edit the PowerPoint, or reuse the example image with a credit to genogramai.com.

When to use a medical genogram template

Use this template to take a family health history: a primary care intake, a pre-appointment form for genetics or oncology, or a medical student's family history assignment. It records the biological relatives that matter for risk (parents, siblings, children, grandparents, aunts and uncles) with conditions, ages at onset and ages and causes of death.

The key uses shading inside each symbol: fill the left half for a physical or mental illness, the bottom half for alcohol or drug misuse, stripes for a suspected condition, and a quarter with a line for remission. Pick one colour per condition and write it in the colour key, so a reader can see at a glance that, for example, three relatives on the mother's side had early heart disease.

For a nursing family assessment that also covers caregiving and household, the Nursing Genogram Template fits better. For psychiatric conditions and the relationships around them, use the Mental Health Genogram Template. A medical genogram is a clinical aid; it does not replace a formal pedigree drawn by a genetics service.

The blank template and a filled-in example

Left: the blank printable. Right: the same template filled in for a fictional family in GenogramAI.

Blank medical genogram template: A three-generation structure (grandparent couples, parents with sibling slots, three children with the index person in a double outline), a Patient / DOB / Date header, a medical shading key (left half = illness, bottom half = alcohol or drug misuse, striped = suspected, quarter with a line = remission), a colour-per-condition key, and family history notes. — Blank: A three-generation structure (grandparent couples, parents with sibling slots, three children with the index person in a double outline), a Patient / DOB / Date header, a medical shading key (left half = illness, bottom half = alcohol or drug misuse, striped = suspected, quarter with a line = remission), a colour-per-condition key, and family history notes.

Medical Genogram Template filled in: Medical Genogram Tutorial drawn in GenogramAI with a genogram key — Filled in: The example is a fictional teaching chart for Rachel Dixon (b. 1992) with every relative carrying at least one condition: heart disease in her grandfather Harold, her father's side and a cousin, cancer in her grandmother Virginia and aunt Diane, diabetes, and psychiatric conditions, each in its own colour. Read the full example

Open this example in GenogramAI to start from the finished layout: it copies into your account (the Free plan holds 2 genograms) and every person, line and condition stays editable.

How to fill in a medical genogram template

1
Map three biological generations
Record all first-degree relatives (parents, siblings, children) and second-degree relatives (grandparents, aunts, uncles). Note ages, and age at death.
2
Document health conditions
Shade each person for their conditions using the key, with one colour per condition. In GenogramAI, quadrants fill in the order you add conditions (top-left, top-right, bottom-left, bottom-right) and the colour key on the chart records which condition each represents; beyond four conditions the symbol switches to pie slices.
3
Identify hereditary patterns
Write age at onset beside each condition. Look for clusters on one side of the family, early onset, and the same condition in several first-degree relatives.

Symbols this template uses

Drawn the way GenogramAI draws them. Every other symbol is in the genogram symbols guide and the genogram key.

Symbol	What it means
Left half shaded	Physical or mental illness; one colour per condition, defined in the colour key.
Bottom half shaded	Alcohol or drug misuse.
Striped shading	Suspected, undiagnosed or unconfirmed condition.
Quarter shaded with a line	Condition in remission, or in recovery from substance use.
X through the symbol	Deceased; write age and cause of death beside it.
Double outline	The patient (index person) whose risk you are assessing.

Common mistakes to avoid

Writing "cancer" without the type and the age at diagnosis, which is what determines hereditary risk.
Mixing in step or adoptive relatives without marking them, so non-biological relatives are counted as risk.
Using a different colour for the same condition in different people.
Leaving deceased relatives without age and cause of death.

Who uses this template?

Primary care physicians, genetic counselors, family medicine practitioners, and medical students.

Common uses

Family health history intake in primary care and preventive medicine
BRCA and hereditary cancer risk assessment
Cardiovascular disease and diabetes family pattern mapping
Genetic counseling pre-appointment documentation
Medical school and nursing school family history assignments

What the template covers

Condition shading key (illness, substance misuse, suspected, remission)
Colour-per-condition key
Age at onset, age at death and cause of death prompts
Family history notes area
Online version: PNG export free; PDF and SVG export on paid plans

What is free?

Free and paid, plainly

All five files on this page (blank PDF, PowerPoint, SVG, example PDF and PNG) are free to download and use, with no sign-up. In GenogramAI, the Free plan includes 2 genograms, 5 AI credits a month, all 64 relationship types, medical shading and PNG export, with no card. PDF, SVG and GEDCOM export, file import and photo import are on paid plans; Professional is $12/month.

Frequently asked questions

What is a medical genogram?

A medical genogram is a family health history diagram that maps inherited diseases, genetic conditions and health patterns across three or more generations. It uses standard symbols with shading or labels to show which relatives have which conditions, their age at onset and cause of death. It is used in primary care, genetic counseling, oncology and cardiology.

What information goes in a medical genogram?

Age or year of birth for each relative, age and cause of death for those who have died, significant diagnoses with age at onset, and any known genetic test results (for example BRCA1/2). Ancestry is also worth noting, since it changes the risk for some conditions.

How many generations should a medical genogram include?

Three generations is the usual baseline: the patient's generation, the parents' and the grandparents'. For hereditary cancer or rare conditions, a genetics service may ask for four generations or for grandparents' siblings as well; the 4 Generation Genogram Template has room for that.

Is a medical genogram the same as a pedigree chart?

They are related but differ in scope. A genetic pedigree tracks one trait or gene with standardized affected, unaffected and carrier symbols. A medical genogram captures several conditions at once, plus psychosocial context such as caregiving and relationships. Clinicians in primary care and family medicine tend to use genograms; genetics services draw pedigrees.

Should I put real patient names on a downloaded template?

A printed or locally saved template is covered by your own record-keeping rules, the same as any paper chart. The filled example on this page uses a fictional family. In GenogramAI, the Clinical plan adds zero-knowledge encryption for charts that contain patient information.