Physical Assessment Form

January 18, 2010

in Assessment Forms

When a patient seeks medical checkup or sees a doctor, nurse or a physician, it is important to carry out a physical condition assessment so as to establish their physical health status. The physical assessment form is used in such a situation.  The form is often filled before seeking medical treatment, before undertaking vigorous physical activity or seeking a physically demanding job. Here is a sample physical assessment form.

PHYSICAL ASSESSMENT FORM

(This form should be filled completely by a nurse, doctor, physician or a medical practitioner or their assistants.)

Date: _________________

Patient Details

Name: ______________________________ Age: _______ Date of Birth: ___________

Address: ________________________________ State: ___________ Zip: ___________

Phone: _______________________________ Email: ____________________________

Health condition

Height: __________ Weight: ___________

Vision: Left:   _____/_____ uncorrected /corrected ________________________________

Right: _____/_____ uncorrected /corrected ________________________________

Glasses __________________  Contacts __________________

Blood pressure _____/_____ Pulse ___________________ Hearing __________

Body part    Normal Abnormal Comment

Mouth, Throat and Teeth  __________ __________ ______________________

Eyes, Nose and Ears   __________ __________ ______________________

Thyroid and Neck   __________ __________ ______________________

Cardiovascular   __________ __________ ______________________

Lungs and Chest   __________ __________ ______________________

Abdomen    __________ __________ ______________________

Skin     __________ __________ ______________________

Genitalia    __________ __________ ______________________

Musculoskeletal

Neck, Shoulders and arms  __________ __________ ______________________

Hands, hips and back   __________ __________ ______________________

Feet, knees and legs   __________ __________ ______________________

Neurological    __________ __________ ______________________

Women only (If applicable)

Date of last gynecological exam ________________________

Pap smear date _____________________________________ Result: ________________

Breast Exam date ___________________________________ Result: ________________

Please comment on whether further evaluation or care is needed

Does the patient smoke cigarettes? ______________________ for how long? ________

Does the patient drink Alcohol? _________________________ for how long? ________

Assessor name ________________________________ Position: ____________________

Signature: ____________________________________ Date: _______________________

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