Get Lower Leg Assessment

This guide provides clear instructions on how to complete the Interdisciplinary Lower Leg Assessment Form online. With step-by-step guidance, users will be empowered to provide comprehensive information regarding the assessment.

Follow the steps to successfully complete the form online:

1. Press the ‘Get Form’ button to access the Lower Leg Assessment Form and open it for completion.
2. Fill in the basic details at the top of the form, including the user’s name, date of birth, personal health number (PHN), and contact information.
3. Provide the date of assessment and the referral source, including the names and contact details of involved healthcare professionals.
4. In the 'Reason for Referral' section, clearly outline the purpose for submitting the assessment.
5. Document the past medical history, ensuring to include details for cardiac, pulmonary, renal, endocrine, neurological, surgical/orthopedic, cancer, dermatological histories, and any other relevant medical information.
6. List any medications currently being taken by the individual, along with treatment history that may impact the lower leg assessment.
7. Detail the client’s personal goals regarding their care and treatments that are sought through this assessment.
8. Proceed to complete the individual assessment sections including pain, skin condition, foot condition, sensation, ulcers, measurements, edema, circulation, range of motion, mobility, and strength.
9. In each section, select or fill in the appropriate responses, ensuring to provide additional comments as needed for clarity.
10. After all sections are filled out, review the document for completeness and accuracy.
11. Once confirmed, users can save changes, print for their records, or share the form as necessary.

Complete your Lower Leg Assessment online today to ensure comprehensive and accurate information is documented.