Pad screening tool 2026

1. Click ‘Get Form’ to open the pad screening tool in the editor.
2. Begin by entering your Patient Name, Date of Birth, Age, and Today’s Date in the designated fields.
3. Answer the question regarding previous blood pressure tests in your ankle by selecting 'Yes' or 'No' and providing an approximate date if applicable.
4. Indicate your present age range by circling the appropriate option: 49 or less, 50-64, or 65 or older.
5. Respond to the smoking question by selecting whether you currently smoke, have quit, or never smoked.
6. For each health-related question (diabetes, high blood pressure, high cholesterol), circle 'Yes' or 'No' as applicable.
7. Complete questions about leg pain while walking and at rest by circling 'Yes' or 'No'.
8. Add up points from your answers in the second and third columns to calculate your Total Score.
9. Review scoring guidelines based on your Total Score to understand potential concerns regarding peripheral arterial disease.
10. Sign the form at the bottom and ensure it is reviewed by a healthcare professional.

Start using our platform today for free to complete your pad screening tool efficiently!