Title: Microsoft Word Body form pain chart.doc Author: Mary Jo Smiley Created Date: 6/8/2012 1:57:30 AM.

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How to fill out the Body Form Pain Chart - Mary Jo Smiley CMTPT online

Completing the Body Form Pain Chart - Mary Jo Smiley CMTPT online is an essential step for individuals to communicate their pain and discomfort effectively. This comprehensive guide provides clear instructions to help users fill out the form accurately and with ease.

Follow the steps to complete the Body Form Pain Chart online.

  1. Click ‘Get Form’ button to access the Body Form Pain Chart and open it in your preferred editor.
  2. Begin by entering your full name in the designated field at the top of the form. Ensure that your name is spelled correctly for accurate documentation.
  3. Next, input the date of completion in the appropriate section. Use the current date to reflect when you are filling out the form.
  4. In the section labeled 'Please indicate areas of discomfort or concern,' use the color-coded system to specify your sensations. Mark 'P' or RED for pain, 'T' or GREEN for tingling, 'N' or BLUE for numbness, and 'S' or YELLOW for stiffness.
  5. Indicate the degree of pain you are experiencing on a scale from 1 to 10 in the RED section, where 10 means 'I can’t function.' Be honest about your condition for better assessment.
  6. If you have other symptoms not captured in the color-coded options, write them in the space provided under 'Other in YELLOW' and specify their nature.
  7. Use the notes section to document any additional comments or clarifications regarding your pain and discomfort that were not covered in the previous sections.
  8. When rating the areas of your pain, fill out the scale from 0 to 10 next to each specified area, with 0 indicating no pain and 10 indicating the most severe pain.
  9. Once you have completed all sections of the form, review your entries for accuracy and completeness.
  10. Finally, save your changes, download, print, or share the completed Body Form Pain Chart as needed.

Take the next step in managing your pain by completing the Body Form Pain Chart online today.

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