Body Assessment Form

What is a Body Assessment Form?

Medical professionals use a Body Assessment Form to investigate mainly musculoskeletal injuries or peripheral nerve injuries. It aims to document the location, characteristic, duration, onset, severity, and range of relevant information associated with the patient's main complaint. It is a universal form that is not limited to any category of health practitioners. It can be used as an assessment tool for a range of health practitioners who work with physical pain and other symptoms.

Our Body Assessment Form features a full human body diagram from different angles so you can accurately mark any injuries or pain sites. It also has a remarks section so you can document assessment findings during a physical examination.

How to use this Body Assessment Form

We designed our body assessment chart to be intuitive. To use it, follow the steps below.

Step 1: Download the PDF

Download the PDF on your devices first. You can then choose to complete this form digitally or print it out. Alternatively, this template is also available in our Carepatron template library, which would give you more flexibility on the template format.

Step 2: Complete patient details and medical history

Fill out the essential information about the patient. We also provided a section for a medical history, which will definitely help you understand your patient's health status. Before conducting the assessment, you may also want to consider checking their general appearance or conducting a respiratory assessment, such as evaluating their vital signs, breathing pattern, skin color, and respiratory status.

Step 2: Mark the injuries

During the assessment process, mark the injuries using the corresponding symbols on the body graph. If you are not sure what symbol to use, we have included some marking symbols within the Body Assessment Form template. Our template contains four angles of the human body so you can mark areas accurately, especially during a head-to-toe assessment.

Step 3: Add additional information

To complete this full-body assessment sheet, go beyond simply marking the location and type of injuries. Explore all relevant details, such as onset, triggers that worsen the condition, and severity, and document these insights in the 'Remarks' section. This section is also ideal for noting abnormal findings, additional observations, or recommendations.

Step 4: Document and store securely

Once you complete the bulk of the assessment form, remember to document it in a secure and organized place. Everything in this form is strictly confidential and crucial for future treatment, so keeping it safe and accessible is necessary.

Benefits of this physical examination form

Using this form can benefit medical professionals in many ways, such as:

Visualized injuries

The form allows you to mark patient injuries on a body diagram, making the location of injuries more easily visualized and accurately represented. Patients often have difficulties describing the exact location of their injuries due to limitations of knowing anatomical terminologies, but a visual diagram is a universal language that most people can easily understand.

Improved accessibility

Our Body Assessment Form PDF can be used by any device with a PDF reader. We have designed our PDF to be directly fillable without needing conversion to a Word document or any extra step. Furthermore, we ensured that the form functions digitally or printed well.

Easily shareable

The PDF format is universal and easy to share, whether printed or sent digitally. Additionally, with a Carepatron account, you can customize or create your own forms using our template as a reference and conveniently share them with other clinicians or patients.

Easy to use

We have designed our PDF template so it is easy to use and intuitive. Even someone who is unfamiliar with technology will most likely be capable of filling out the form. If they still don't understand how to use it, you can print it out.