Neurosurgery Assessment Form - Northern Health 2026

1. Click ‘Get Form’ to open the Neurosurgery Assessment Form in the editor.
2. Begin by entering the patient's name and date of birth in the designated fields at the top of the form.
3. Proceed to assess neurological involvement. For each symptom listed, such as clonus or hyperreflexia, select 'Yes' or 'No' based on your observations.
4. In the weakness section, list any specific muscle groups affected. This information is crucial for understanding the patient's condition.
5. Indicate areas of symptoms clearly, ensuring that you provide detailed descriptions where necessary.
6. Review conservative treatment options that have been tried. Mark 'Yes' or 'No' for each option like exercise or physiotherapy.
7. Finally, fill out functional limitations regarding walking and sitting durations, and indicate if sleep is disturbed.

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