Head-to-Toe Physical Assessment Checklist
Document a comprehensive physical assessment by systematically reviewing each body system.
Patient Full Name
*
First Name
Last Name
Date of Assessment
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Assessor Name
*
First Name
Last Name
General Appearance
*
Normal
Abnormal
Skin Assessment
*
Normal
Abnormal
Head, Eyes, Ears, Nose, Throat (HEENT)
*
Normal
Abnormal
Chest and Lungs
*
Normal
Abnormal
Heart/Cardiovascular
*
Normal
Abnormal
Abdomen/Gastrointestinal
*
Normal
Abnormal
Musculoskeletal System
*
Normal
Abnormal
Neurological System
*
Normal
Abnormal
If any findings above are abnormal, please describe here:
Assessor Signature
*
Submit Assessment
Submit Assessment
Should be Empty: