We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Shoulder Assessment Form Pdf

Get Shoulder Assessment Form Pdf

Date of birth: M/F Check normal, circle & describe abnormal CC & significant history: Fracture screen (tuning fork, percussion, torsion test, ultrasound): WNL Refer for X-ray Inspection: WNL Development: good, fair, poor Posture: Skin (bruising, scars): Asymmetry:.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Shoulder Assessment Form Pdf online

Filling out the Shoulder Assessment Form Pdf online is a crucial step in documenting a patient's shoulder examination. This guide provides clear, step-by-step instructions to ensure that users can complete the form accurately and efficiently.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Begin by entering the patient's name in the designated field at the top of the form, followed by the date of the examination.
  3. In the 'CC & significant history' section, provide details of the patient's chief complaint and relevant medical history.
  4. Proceed to the 'Inspection' section and check 'WNL' or document observations regarding posture, skin conditions, and asymmetry.
  5. Conduct palpation assessments and document findings for the left (L) and right (R) sides, noting texture, tenderness, or pain referrals.
  6. In the 'ROM & Joint Play' section, record the range of motion (active and passive) and any signs of pain or abnormal motion.
  7. Complete the neurologic and orthopedic evaluations and document any findings in the respective fields.
  8. Finally, review all entries for accuracy, save your changes, and choose your preferred option to download, print, or share the completed form.

Start completing your documentation online today.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Range of Joint Motion Evaluation Chart
Range of Joint Motion Evaluation Chart. NAME OF PATIENT. CLIENT IDENTIFICATION NUMBER...
Learn more
Shoulder EVALUATION FORM Patient Information
Shoulder EVALUATION FORM. Date: Pt Name: Pt Number: Diagnosis: Referred by:...
Learn more
PUSH ASSESSMENT FORM
Joint Location. Compensation. Key Suspected Compensations. â–¡ Side. Scapulothoracic. â–¡...
Learn more

Related links form

& OPHTHALMIC DRUGS ADVISORY COMMITTEE Oracle Security Cheat Sheet - Red-Database-Security Seesbusinessgifts Com Get A Dba City Of Atascadero Form

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Instructions: Ask the patient to abduct their shoulder, whilst you simultaneously palpate the inferior pole of the scapula. Assess the degree and smoothness of scapular movement. On average 50-70% of the scapula's initial movement occurs at the glenohumeral joint.

The ASES score contains a physician-rated and patient-rated section; however, only the pain visual analog scale (VAS) and 10 functional questions are typically used to tabulate the reported ASES score. The total score - 100 maximum points - is weighted 50% for pain and 50% for function.

Flexion, extension, abduction and adduction can be tested, and the degree of motion can be noted compared to normal. Internal and external rotation should be tested with elbow at 90° of flexion.

Your healthcare provider will hold your arm and bend your elbow 90 degrees. With one hand on your shoulder, they will grasp your elbow and rotate the arm back and forth. This test is positive if it causes pain or any odd clicking or clunking sounds in the shoulder.

Ligaments In The Shoulder Glenohumeral Ligaments. Coraco-acromial Ligament. Coraco-clavicular Ligaments. Transverse Humeral Ligament.

The examiner must support the arm of the patient at the level of the elbow so that the upper extremity can be as much relaxed as possible. Then the examiner has to internally rotate the shoulder while at the same time perform a cross-body adduction of the arm. The test is positive if pain is elicited.

The shoulder muscles have a wide range of functions, including abduction, adduction, flexion, extension, internal and external rotation.

Palpation should include examination of the acromioclavicular and sternoclavicular joints, the cervical spine and the biceps tendon. The anterior glenohumeral joint, coracoid process, acromion and scapula should also be palpated for any tenderness and deformity.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Shoulder Assessment Form Pdf
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232