Care assessment 2026

1. Click ‘Get Form’ to open the care assessment in the editor.
2. Begin by filling out Section A, Patient & Employer Information. Enter the patient's last name, first name, and initials, followed by their address, date of birth, and employer details.
3. In Section B, Health Professional Information, select the type of health professional and provide their name and facility details.
4. Proceed to Section C for Clinical Information. Document the provider who gave the first treatment, patient history of injury, current symptoms, and diagnosis.
5. Continue with questions regarding complicating factors that may delay recovery and relevant medical information. Record pain ratings and limitations in daily activities.
6. Finally, in Section D, outline the treatment plan and return-to-work recommendations based on your assessment findings.

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