Free Medical Physical Exam Checklist Template

Physical Exam Checklist

Name

Address

Company

[your name]

[your company address]

[your company name]

Vital Signs Assessment

  • Check Body Temperature (°C/°F)

  • Evaluate Heart Rate (beats per minute)

  • Assess Blood Pressure (mmHg)

  • Measure Respiratory Rate (breaths per minute): [Yes] [No]

  • Check Pulse Oximetry (% SpO2): [Yes] [No]

Organ Systems Examination

  • Examine Eyes (pupil response, visual acuity)

  • Evaluate Ears (hearing, tympanic membrane)

  • Assess Nose (patency, mucosa)

  • Check Mouth and Throat (dentition, pharynx)

  • Assess Cardiovascular System (heart sounds, rhythm)

  • Examine Respiratory System (lung sounds, effort)

  • Assess Gastrointestinal System (abdomen palpation, bowel sounds)

  • Evaluate Nervous System (reflexes, sensation)

  • Examine Musculoskeletal System (joint mobility, muscle strength)

Physical Condition Assessment

  • Assess Patient's General Condition (alertness, appearance)

  • Check Posture and Mobility (gait, alignment)

  • Evaluate Skin (integrity, lesions)

  • Examine Head and Neck (symmetry, lymph nodes)

  • Check Abdomen (distention, tenderness)

  • Evaluate Extremities (circulation, swelling)

  • Perform Neurologic Screening (cranial nerves, coordination)

  • Evaluate Mental Health (mood, behavior)

Health Evaluation and Early Detection of Health Issues

  • Evaluate Current Health Status

  • Analyze Medical History (including family history)

  • Assess Risk Factors (lifestyle, occupational)

  • Plan for Early Detection of Health Issues (screenings, tests)

  • Discuss Preventive Measures (vaccinations, lifestyle advice)

Follow-up Recommendations

  • Arrange Next Appointment (date/time)

  • Recommend Additional Consultations (specialist referrals)

  • Prescribe Medications or Treatments (if necessary)

  • Provide Patient Education Materials

  • Set Goals for Patient Health Improvement

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