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Body form pain chart - Mary Jo Smiley CMTPT 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name and the date at the top of the form. This helps personalize your chart.
- In the designated area, indicate any discomfort or concerns by coloring in the appropriate sections. Use 'P' or RED for pain, 'T' or GREEN for tingling, 'N' or BLUE for numbness, and 'S' or YELLOW for stiffness.
- Next, rate your pain on a scale from 1 to 10 in RED, where 10 signifies extreme discomfort. Be sure to mark each area accurately.
- If you have other symptoms, specify them in YELLOW under the 'Other' section.
- Finally, provide additional notes regarding your condition in the NOTES section at the bottom of the form.
Start using our platform today to easily fill out your Body form pain chart and streamline your documentation process!
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2012 | 4 Satisfied (49 Votes) |
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