Abstract: A customizable and dynamic electronic patient form and information system is provided having features whereby a healthcare provider may select and record various values corresponding to patient categories, the values being recorded as discrete data points at locations on a display that are reliable and predictive, and that are simultaneously displayed as selections on the patient form and as entries on a data logger or patient summary sheet. Further changes or modifications to the value are recorded as discrete data points and simultaneously displayed on the patient form and in the patient summary sheet. The patient form further includes features to permit a user to modify the form as desired to suit the needs of the patient and/or the healthcare provider's field of practice.