Get Knee Patient Evaluation Form_dsa

Completing the Knee Patient Evaluation Form_DSA online is an important step in providing your healthcare professional with the necessary information regarding your knee condition. This guide will walk you through each section of the form, ensuring that you provide all required details accurately and completely.

Follow the steps to fill out the Knee Patient Evaluation Form_DSA online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online document editor.
2. Begin by providing your personal information at the top of the form. Fill in your name, chart number, age, sex, the knee affected, duration of symptoms, today’s date, and the date when the problem began.
3. Move on to the major complaint section. Check all boxes that apply to describe your knee issues, such as pain, swelling, or loss of motion.
4. Indicate how the problem started by selecting the options that are applicable to your situation, such as gradually or after an accident.
5. If you experience pain, indicate the primary location of that pain by checking the relevant areas of the knee.
6. Next, you will need to specify when the affected knee hurts. Check the box that corresponds with your experience, whether it is constant, infrequent, or when active.
7. Answer the questions regarding pain during rest and at night, selecting yes or no for each query.
8. Indicate what worsens your pain by checking all applicable activities, such as sitting, running, or climbing stairs.
9. Describe how pain is relieved by checking all suitable options and noting any specific medication you use.
10. Answer questions about swelling, grinding noises, locking, pain severity, mobility, and activities you are unable to do.
11. Proceed to sections regarding the use of walking aids and past medical consultations related to your knee issue.
12. Provide details about any previous treatments, including emergency visits, imaging, or surgical procedures by filling out the corresponding sections.
13. Log any medical problems, current medications, allergies, previous surgeries, and your overall level of physical health.
14. Finally, provide the referral information and confirm who referred you for this evaluation.
15. Once all sections are completed, review your form for accuracy. You can then save your changes, download, print, or share the document as needed.

Make sure to complete your Knee Patient Evaluation Form_DSA online today for a thorough assessment.