Get Physical Examination Perrla Yes No Hearing Test ...

Filling out the Physical Examination PERRLA Yes No HEARING TEST form online can streamline the process of gathering important health information. This guide provides clear, step-by-step instructions to help you complete each section effectively.

Follow the steps to complete the form accurately online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information in the designated fields. Fill in your name, phone number, address, and date of birth accurately.
3. In the Vital Signs section, input your temperature, pulse, height, weight, and note if your heart rhythm is regular or irregular.
4. For the Acuity section, check your uncorrected BMI and complete the field of vision if applicable.
5. In the Vision Test area, for each eye, indicate the visual acuity with or without corrective lenses. Mark whether you can distinguish various colors and note if you have monocular vision for either eye.
6. In the PERRLA section, indicate Yes or No as appropriate based on the examination results.
7. Proceed to the Hearing Test section and record the distance from which a forced whispered voice can be first heard for both the right and left ear.
8. Complete the Review of Systems, indicating any normal or abnormal findings in each listed area.
9. Sign and print your name, along with the date, in the final section provided for the licensed independent practitioner.
10. Once all fields are completed, review your entries for accuracy, then save your changes, download, print, or share the completed form as necessary.

Complete the Physical Examination PERRLA Yes No HEARING TEST form online today.