01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
Pad screening tool 2026
Here's how it works
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out pad screening tool with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
- Click ‘Get Form’ to open the pad screening tool in the editor.
- Begin by entering your Patient Name, Date of Birth, Age, and Today’s Date in the designated fields.
- Answer the question regarding previous blood pressure tests in your ankle by selecting 'Yes' or 'No' and providing an approximate date if applicable.
- Indicate your present age range by circling the appropriate option: 49 or less, 50-64, or 65 or older.
- Respond to the smoking question by selecting whether you currently smoke, have quit, or never smoked.
- For each health-related question (diabetes, high blood pressure, high cholesterol), circle 'Yes' or 'No' as applicable.
- Complete questions about leg pain while walking and at rest by circling 'Yes' or 'No'.
- Add up points from your answers in the second and third columns to calculate your Total Score.
- Review scoring guidelines based on your Total Score to understand potential concerns regarding peripheral arterial disease.
- 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!
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