Get the free PELVIC FLOOR HISTORY INTAKE SHEET FOR PHYSICAL ...

PELVIC HEALTH INTAKE FORM2 Name:___ Age:___ Occupation:___ 1. GENERAL MEDICAL HISTORY Date of injury: ___ Date of surgery: ___ Date of last Physical: ___ Medical History: (circle all that apply) Cancer

How to fill out pelvic floor history intake

How to fill out pelvic floor history intake

1. Ensure to have a detailed intake form specific to pelvic floor history.
2. Include questions on urinary symptoms such as frequency, urgency, leakage, and emptying patterns.
3. Ask about bowel habits including constipation, diarrhea, and straining.
4. Inquire about sexual health and any pain or discomfort during intercourse.
5. Include questions on any previous pregnancies, deliveries, surgeries, or injuries to the pelvic area.
6. Obtain information on any pelvic pain or discomfort and its duration and intensity.
7. Consider any other relevant medical history or conditions that may impact pelvic floor function.

Who needs pelvic floor history intake?

1. Individuals experiencing symptoms of pelvic floor dysfunction such as urinary incontinence, pelvic pain, or difficulty with bowel movements.
2. Patients undergoing physical therapy or treatment for pelvic floor issues.
3. Women during pregnancy and postpartum period.
4. Individuals with a history of pelvic trauma, surgery, or chronic conditions affecting the pelvic region.

For pdfFiller’s FAQs

How do I edit pelvic floor history intake online?

pdfFiller not only allows you to edit the content of your files but fully rearrange them by changing the number and sequence of pages. Upload your pelvic floor history intake to the editor and make any required adjustments in a couple of clicks. The editor enables you to blackout, type, and erase text in PDFs, add images, sticky notes and text boxes, and much more.

Can I create an electronic signature for signing my pelvic floor history intake in Gmail?

You can easily create your eSignature with pdfFiller and then eSign your pelvic floor history intake directly from your inbox with the help of pdfFiller’s add-on for Gmail. Please note that you must register for an account in order to save your signatures and signed documents.

How do I fill out pelvic floor history intake on an Android device?

On Android, use the pdfFiller mobile app to finish your pelvic floor history intake. Adding, editing, deleting text, signing, annotating, and more are all available with the app. All you need is a smartphone and internet.

What is pelvic floor history intake?

Pelvic floor history intake is a form that gathers information about a patient's medical history related to their pelvic floor.

Who is required to file pelvic floor history intake?

Patients who are seeking treatment or assessment for pelvic floor issues are required to file pelvic floor history intake.

How to fill out pelvic floor history intake?

Patients can fill out the pelvic floor history intake form by providing accurate and detailed information about their medical history and symptoms related to their pelvic floor.

What is the purpose of pelvic floor history intake?

The purpose of pelvic floor history intake is to help healthcare professionals understand the patient's medical history in order to provide appropriate treatment and care for their pelvic floor issues.

What information must be reported on pelvic floor history intake?

Information such as medical history, current symptoms, previous treatments, medications, and any other relevant information related to pelvic floor issues must be reported on the pelvic floor history intake.