Free Medical Physical Exam Checklist Template
Physical Exam Checklist
Name |
Address |
Company |
---|---|---|
[your name] |
[your company address] |
[your company name] |
Vital Signs Assessment
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Check Body Temperature (°C/°F)
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Evaluate Heart Rate (beats per minute)
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Assess Blood Pressure (mmHg)
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Measure Respiratory Rate (breaths per minute): [Yes] [No]
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Check Pulse Oximetry (% SpO2): [Yes] [No]
Organ Systems Examination
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Examine Eyes (pupil response, visual acuity)
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Evaluate Ears (hearing, tympanic membrane)
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Assess Nose (patency, mucosa)
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Check Mouth and Throat (dentition, pharynx)
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Assess Cardiovascular System (heart sounds, rhythm)
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Examine Respiratory System (lung sounds, effort)
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Assess Gastrointestinal System (abdomen palpation, bowel sounds)
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Evaluate Nervous System (reflexes, sensation)
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Examine Musculoskeletal System (joint mobility, muscle strength)
Physical Condition Assessment
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Assess Patient's General Condition (alertness, appearance)
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Check Posture and Mobility (gait, alignment)
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Evaluate Skin (integrity, lesions)
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Examine Head and Neck (symmetry, lymph nodes)
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Check Abdomen (distention, tenderness)
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Evaluate Extremities (circulation, swelling)
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Perform Neurologic Screening (cranial nerves, coordination)
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Evaluate Mental Health (mood, behavior)
Health Evaluation and Early Detection of Health Issues
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Evaluate Current Health Status
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Analyze Medical History (including family history)
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Assess Risk Factors (lifestyle, occupational)
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Plan for Early Detection of Health Issues (screenings, tests)
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Discuss Preventive Measures (vaccinations, lifestyle advice)
Follow-up Recommendations
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Arrange Next Appointment (date/time)
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Recommend Additional Consultations (specialist referrals)
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Prescribe Medications or Treatments (if necessary)
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Provide Patient Education Materials
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Set Goals for Patient Health Improvement