Get the free Physical Assessment Form - isu

A form used in Idaho State University's Return-to-Work Program to assess an employee's physical capabilities and restrictions following an injury or illness, ensuring a safe return to work.

How to fill out physical assessment form

How to fill out Physical Assessment Form

1. Start with personal information: Fill in your name, date of birth, and contact details.
2. Enter medical history: Provide details about past illnesses, surgeries, and medications.
3. Record vital signs: Measure and log your blood pressure, heart rate, respiratory rate, and temperature.
4. Assess physical fitness: Note your height, weight, and body mass index (BMI).
5. Evaluate different body systems: Include observations on cardiovascular, respiratory, gastrointestinal, and musculoskeletal systems.
6. Document current symptoms: Describe any pains, discomforts, or other issues you are experiencing.
7. Provide lifestyle information: Include details about your diet, exercise habits, and substance use.
8. Review and sign: Ensure all sections are complete and sign the form to verify the information.

Who needs Physical Assessment Form?

1. Individuals undergoing a routine health check-up.
2. Patients preparing for surgery or medical procedures.
3. Athletes needing fitness assessments.
4. People applying for insurance or employment requiring medical evaluations.
5. Individuals with chronic conditions needing regular assessments.

People Also Ask about

What are the 5 skills of physical assessment?

Answer: Five physical assessment skills are inspection, palpation, percussion, auscultation, and olfaction.

How do I fill out a physical assessment form?

Begin by entering your personal details in the designated fields at the top of the form. Next, provide information regarding any current medications and allergies. Finally, complete the evaluation of your health by filling out the sections regarding physical examination findings and other relevant medical history.

What are the 4 components of a physical exam?

Physical examination is the process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation. The information obtained must be thoughtfully integrated with the patient's history and pathophysiology.

What are the steps to complete a physical assessment?

In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.

What does a physical assessment consist of?

The doctor might measure your heart rate, blood pressure, height and weight, look in your throat or ears with a torch, or listen to your heart or lungs with a stethoscope. Sometimes you might need to have an examination of your , genital area or rectum.

What does a physical assessment include?

A physical examination usually includes: Inspection (looking at the body) Palpation (feeling the body with fingers or hands) Auscultation (listening to sounds, usually with a stethoscope)

For pdfFiller’s FAQs

What is Physical Assessment Form?

The Physical Assessment Form is a document used to collect and evaluate information regarding an individual's physical health status and any relevant medical history.

Who is required to file Physical Assessment Form?

Individuals seeking medical examinations, insurance assessments, or participation in specific programs that require a health evaluation are typically required to file a Physical Assessment Form.

How to fill out Physical Assessment Form?

To fill out a Physical Assessment Form, carefully read each section, provide accurate personal and medical information, complete any highlighted areas, and sign where required to certify that the information is truthful.

What is the purpose of Physical Assessment Form?

The purpose of the Physical Assessment Form is to assess an individual's health for various reasons including employment, insurance eligibility, participation in sports, and to provide medical professionals necessary information for diagnosis and treatment.

What information must be reported on Physical Assessment Form?

The Physical Assessment Form typically requires information such as personal identification details, medical history, current health status, medications taken, allergies, and any pertinent lifestyle habits.