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Foot care assessment template

Foot screening form 2025

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The document is a Podiatry Foot Screening Form designed to collect patient information and assess foot health. It includes sections for personal details, medical history, medication use, and specific foot-related questions. The form also features an inspection checklist for common foot conditions such as bunions, calluses, and hammertoes, along with a neurological exam and risk categorization for further referral if necessary.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does a foot exam consist of?

Your provider will check: The skin of your feet to look for dryness, ing, calluses, blisters, ulcers, and other damage or abnormal areas. Your toenails for s and fungal infection. The temperature of your feet to see if they are the same.

What is the 60 second foot exam for people with diabetes?

The first version of the Simplified 60-Second Diabetic Foot Screen contained the following items: previous amputation, deformity, palpation for pulses, active ulcer, ingrown toenail, callus, blisters, fissure, and monofilament testing for neuropathy.

What are the first signs of diabetes in your feet?

Diabetes Foot Problems: When to See Your Doctor Tingling, burning, or pain in your feet. A change in the color and temperature of your feet. Dry, ed skin on your feet. Loss of feeling or ability to sense heat or cold. Thick, yellow toenails. Loss of hair on your toes, feet, and lower legs.

What is a foot assessment?

A foot assessment can be used to classify foot type, as well as to identify possible aetiological factors relating to injury in order to properly prescribe therapeutic interventions. Details can be found on the Biomechanical Assessment of the Foot and Ankle page.

What is included in a foot assessment?

Observe the feet, comparing one with the other for symmetry. Look specifically at the forefoot for nail changes or skin rashes, such as psoriasis. Look for alignment of the toes, evidence of hallux valgus of the big toe or subluxation (partial dislocation) of the joints.

foot assessment form

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What is a physical examination of the foot?

Physical Examination of the Foot The patient is observed from behind while standing on toes; contraction of the gastrocnemius, the degree of heel inversion, the height of the foot arch, and the degree of lateral symmetry are assessed.

How long does a foot exam take?

The average primary care provider visit lasts

Foot screening form 2025

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