Body Assessment Form

With a human body diagram, our body assessment form will allow you to investigate and assess the symptoms and concerns of your patients, leading to better clinical outcomes.

By Emma Hainsworth on Mar 06, 2024.

Fact Checked by Ericka Pingol.

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What is a Body Assessment Form?

are used 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 main complaint of the patient. It is a universal form that is not limited to any category of health practitioners and can be used as an assessment tool for a range of health practitioners that work with physical pain and other symptoms. Our body assessment form features a full human body diagram for you to accurately mark any sites of injuries or pain and a comment section for you to jot down any important information. The abundant space of this form gives you the freedom to carry out assessments that best suit your practice, without having to follow a specific structure. Within this page, you will find resources relevant to the body assessment form, including a pre-designed template, instructions on how to use this template, benefits of this template, and common Q&As.

Printable Body Assessment Forms

Download these body assessment form templates to track your client's progress and outcomes.

How To Use This Template For Body Assessment Form

We designed our body assessment form template so it is intuitive to use. Thanks to the fillable function, you do not have to draw any text boxes within the PDF or convert it to a Word document. Simply follow the below steps to use our body assessment form with ease.

Step One: Download the PDF

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

Step Two: Mark the Injuries

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. Make sure you differentiate the anterior and posterior views of the body diagram.

Step Three: Add Additional Information

To complete a body assessment form, there is more to just marking the location and type of the injuries. You will want to explore all the relevant information like their onset, exacerbation triggers, severity, etc., and document all this valuable information within the ‘Additional Information’ section.

Step Four: Documentation

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

Body Assessment Form Example (Sample)

To help you navigate your way through our body assessment form template for the first time, we have made a sample template for you. It has all the fields of the form filled out based on a made-up patient, aiming to give you a better idea of what this form is about.

Download this Body Assessment Example (Sample) here: 

Body Assessment Form Example (Sample)

Who Can Use this Printable Body Assessment Form (PDF)?

This form would typically be used by healthcare professionals who deal with musculoskeletal injuries frequently. Some examples are physical therapists, physiotherapists, chiropractors, massage therapists, general practitioners, and acupuncture practitioners. Strictly speaking, there is no restriction on who can use this form. This is an intuitive assessment form that does not require specialized knowledge, meaning if you are dealing with a patient who suffers from musculoskeletal injuries, you are eligible to use this body assessment form and map down their injuries. Then, you can decide whether to treat them yourself or refer them onward to more qualified individuals after the initial assessment.

Why is This Form Useful for Physical Therapists?

Visualize Injuries

The body assessment 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.

Standardize Form Format

Using the body assessment form to assess injuries creates a consistent format that is easy to organize and access. It also saves you time from creating a form every time manually and prevents you from missing required information.

Documentation

A body assessment form creates a record of the state of injuries at the time of assessment. It creates reference points for future treatments to track the remission or deterioration of the symptoms.

Physical Therapist Software Feedback

Why Use Carepatron For Body Assessment Form?

Carepatron is a client-managing platform for healthcare professionals. It allows you to efficiently perform a range of tasks from managing appointments, online billing and payments, patient notes documentation, and more. Accessing the body assessment form template on Carepatron gives you more control over the format and content of the form and allows you to store completed forms with an online database that is accessible from any location. The Carepatron template library also provides hundreds of other templates, covering a large variety of forms, notes, and worksheets that you may need when interacting with your patients.

Body Assessment Software
How do you do a body assessment?
How do you do a body assessment?

Commonly asked questions

How do you do a body assessment?

To do a body assessment, you need to run a full analysis of the patient’s presenting complaints regarding physical injuries and pain. You would want to explore a range of factors including site, onset, characteristics, radiation, time duration, exacerbation factors, and severity. Feel free to follow any structures of symptom analysis, but this is somewhere you can start.

Why are body assessments done?

Body assessments are done to assess the injuries or pain of the physical body. They help create comprehensive documentation and an understanding of the presenting symptoms at the time of assessment, which helps clinicians to create or adjust further treatment plans.

What are the aspects of a typical body assessment?

A typical body assessment focuses on any physical injuries done to the body. It aims to perform a full analysis of the injury. However, what is interpreted as physical pain can also be caused psychologically or referred pain which adds more nuance to the body assessment, and clinicians should treat ‘phantom’ pain equally as a physical injury that is perceivable to the naked eye.

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