Get Foot Assessment Form

Filling out the Foot Assessment Form is an important step in monitoring the health of individuals with diabetes. This guide provides clear, step-by-step instructions to help you navigate the online form effectively, ensuring that all necessary information is accurately captured.

Follow the steps to complete the Foot Assessment Form online.

1. Click ‘Get Form’ button to obtain the Foot Assessment Form and open it in the editor.
2. Begin by entering client identification details in the provided fields. Ensure that all identifiers are complete and accurate.
3. Proceed to assess the skin and nails of both feet. Document any abnormalities by circling the appropriate indicators for the right (R) and left (L) foot.
4. Next, evaluate the structure of the feet. Look for deformities and indicate findings similarly by labeling the relevant foot diagrams.
5. Conduct a vascular assessment. Check for signs of Peripheral Arterial Disease and document your observations accordingly.
6. Perform the sensation test using the 10-g Semmes-Weinstein monofilament. Record findings by marking the appropriate sections on the form.
7. Assess the mobility of the feet, noting any restricted movement or pain. Circle R or L to differentiate your findings.
8. In the foot care section, review hygiene practices and equipment. Document any assistance required and inspect footwear conditions.
9. Finally, assign a risk category based on the accumulated data, referring to the traffic sign system for clarity.
10. Ensure all sections are completed. Save changes, and choose to download, print, or share the Foot Assessment Form as necessary.

Complete your Foot Assessment Form online today to ensure proper monitoring and care.