Get Shoulder Exam Template

This guide provides comprehensive instructions on how to accurately fill out the Shoulder Exam Template online. By following these step-by-step directions, users can ensure that all required information is submitted correctly for effective evaluation.

Follow the steps to complete the Shoulder Exam Template.

1. Press the ‘Get Form’ button to access the Shoulder Exam Template and open it in the editor.
2. Begin by entering the patient's name and date of birth in the designated fields at the top of the form.
3. Fill in the referring doctor's name to ensure proper communication and follow-up.
4. Record the exam date and the patient's weight and height in the provided fields.
5. Indicate whether the patient's exam has been reviewed and cleared by the technologists by selecting the appropriate checkbox.
6. Enter the patient's age and sex to complete the demographic information.
7. Document how long the patient has experienced their shoulder problem to provide context for their condition.
8. Check ‘Yes’ or ‘No’ to the question about past dislocations or instability of the shoulder, and provide details if applicable.
9. Use the provided codes to specify the type of symptoms the patient is experiencing, marking them on the illustrations as shown.
10. If the patient has had previous surgeries or arthroscopies on their shoulder, provide details regarding the location and date of the procedure.
11. Record any prior x-rays taken of the shoulder, including where and when these were conducted.
12. Identify if the condition arose from an accident or sports injury and explain as necessary.
13. Address whether the patient has trouble picking up objects, loss of grip strength, or experiences popping, pain, catching, or locking in their shoulder.
14. Include any additional comments that may be relevant to the patient's condition in the comments section.
15. Have the patient sign and date the form to validate the information provided before submission.

Complete your document online today for efficient management and review.