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PODIATRY CLINICAL RISK ASSESSMENT FORM Patients name EMIL number SECTION A: PREDOMINANT MEDICAL CONDITION (Please tick one box only) CATEGORY AA 70 points Diabetes Mellitus with either neuropathy
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How to fill out podiatry assessment form

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01
To fill out a podiatry assessment form, start by gathering all relevant information about your medical history, current symptoms, and any previous treatments or surgeries related to your foot or ankle.
02
Make sure to provide accurate personal information, including your full name, date of birth, address, and contact details. This will help the healthcare provider identify you correctly and follow up with any necessary communication.
03
The form may have a section to describe your current foot or ankle condition. Provide a detailed account of your symptoms, such as pain location, intensity, duration, triggers, and any accompanying factors like swelling or restricted movement.
04
Be prepared to answer questions regarding your medical history, such as previous foot or ankle injuries, surgeries, chronic conditions like diabetes or arthritis, or any medications you are currently taking. This information helps the podiatrist understand your overall health and may impact treatment recommendations.
05
The podiatry assessment form may inquire about your lifestyle and activities. This is important as certain sports, occupations, or hobbies may increase the risk of foot or ankle injuries or affect treatment options. Mention any physical activities that you engage in regularly.
06
If you have any specific concerns or goals related to your foot or ankle health, note them in the appropriate section of the form. This can help guide the podiatrist's assessment and ensure any particular issues are addressed during the examination.
07
It is essential to be honest and provide accurate information when filling out the form. The more precise and comprehensive your responses are, the better the podiatrist can evaluate and diagnose your condition.

Who needs a podiatry assessment form?

01
Individuals experiencing foot or ankle pain, discomfort, or mobility issues can benefit from filling out a podiatry assessment form. This includes people with sports-related injuries, chronic conditions affecting the feet or ankles, or those who have experienced trauma or accidents involving their lower extremities.
02
Individuals seeking information about their foot or ankle health or looking for preventive care may also be required to fill out a podiatry assessment form. Regular assessment can help identify potential problems or risk factors before they become severe.
03
Patients who have been referred to a podiatrist by another healthcare provider, such as a general practitioner or orthopedic specialist, may need to complete a podiatry assessment form as part of the referral process. This helps the podiatrist understand the patient's medical history and specific concerns before the consultation.
In summary, anyone with foot or ankle issues, seeking preventive care, or referred to a podiatrist can benefit from filling out a podiatry assessment form. Providing accurate and detailed information is crucial for an effective evaluation and appropriate treatment planning.
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During your assessment you will be asked a variety of questions about you and the reason you have been referred. A review of your medical status and a footwear evaluation will take place along with a few simple and painless tests.
The assessment should include: The person's medical history including history of foot problems • An examination of the feet • A check of foot pulses and reflexes • A footwear assessment • An assessment of the person's understanding of foot health • An assessment of the person's self‑care capacity.
What is Biomechanics? In Podiatry Biomechanics refers to the way the bones, muscles and joints of your feet and lower limbs interact and move. They will look specifically at Pronation – how impact is absorbed and Supination – how you are propelled.
An assessment is necessary to enable the podiatrist to obtain a complete history of your general health and your foot problems. The assessment process enables us to target our services towards people who are considered to be high risk because they have a medical condition that affects their feet.
The first visit is often the time to treat bunions, ingrown toenails, heel and lower back pain, circulation in your feet if you have diabetes, and foot deformities. The podiatrist might suggest orthotics, padding, or physical therapy to treat your problems.

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A podiatry assessment form is a document used by healthcare professionals to evaluate the condition of a patient's feet and lower limbs, recording information about their medical history, symptoms, and any observed abnormalities.
Healthcare professionals such as podiatrists or foot care specialists are required to file a podiatry assessment form when evaluating a patient with foot-related issues.
To fill out the podiatry assessment form, practitioners should provide accurate patient information, document medical history, detail presenting complaints, and include findings from the foot examination along with any treatment plans.
The purpose of the podiatry assessment form is to create a comprehensive record of the patient's lower limb health, facilitating diagnosis, treatment planning, and follow-up care.
The podiatry assessment form must report patient demographics, medical history, current symptoms, physical examination findings, assessments, and planned interventions or treatments.
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