Pediatric vital signs chart: Normal ranges by age
Download your free pediatric vital signs chart A one-page recording form with fields for heart rate awake and asleep, respiratory rate, blood pressure, temperature and oxygen saturation. Every entry has room for the reference range you applied, a low, normal or high reading, and notes. Download template A pediatric vital signs chart gives you the […]
Pediatric review of systems template: 13-section checklist
Download your free pediatric review of systems template A print-ready pediatric assessment form with present or absent prompts across 13 sections, from general and weight through pubertal, allergy, and psychiatric. It also has space for relevant medical history, the referring physician, and a closing summary. Download template A pediatric review of systems (ROS) is a […]
PIRP note: Free template
Download your free PIRP note template A structured progress note template for mental health and therapy practices. It carries a labeled field for each of the four sections, plus prompts for what to record in every one. Download template A PIRP note is a structured progress note that therapists, counselors, and social workers use to […]
Eye physical examination: Components, steps, and what to expect
An eye physical examination is a structured assessment of the visual system, covering eight components in one appointment. Each component checks a different part of the eye. Each one can surface disease the others would miss. In 2017, about 93 million US adults were at high risk for vision loss. Around 40% of them had […]
M-CHAT-R screening tool: Free PDF and scoring guide
Download your free M-CHAT-R screening form All 20 parent-answered questions, the scoring key with the three reverse-scored items marked, and the risk cutoff table. Print it for the exam room, or rebuild it as a pre-visit digital form. Download template The M-CHAT-R is a 20-item questionnaire that parents complete to flag autism risk in toddlers […]
Repeat prescription request form: Free template and what to include
Download your free repeat prescription request form A patient-completed PDF covering personal and contact details, the medicines currently prescribed, how well they are working, and safety screening questions. It closes with a privacy and contact consent section you can brand as your own. Download template A repeat prescription request is how a patient on long-term […]
Developmental assessment template and checklist for clinicians
Download your free developmental assessment template The form covers all five domains, milestone checklists by age band, scoring space for standardized instruments, and a referral and follow-up section. Print it for the session or attach it to the client record afterwards. Download template A developmental assessment is a full evaluation of how a child is […]
Deep tendon reflex exam
Download your free deep tendon reflex exam form A printable two-page form for recording deep tendon reflex findings at the bedside. It covers patient details, vitals, left and right responses for biceps, triceps, brachioradialis, patellar, ankle, and plantar reflexes, plus a description box for each. Download template The deep tendon reflex exam is the most […]
Numeric pain rating scale
Download your free numeric pain rating scale A printable 0-10 scale with the anchor wording written out, plus fields for patient name, date, body site, and the timeframe you asked about. It also carries rows for recording scores across follow-up visits. Download template Pain is subjective, and your patients are the only authority on what […]
Authorization to use and disclose health information
Download your free authorization to use and disclose health information form The form covers patient identification, the records to be released, the named recipient, the purpose, and the expiration date. It also carries the revocation, redisclosure, and no-conditioning statements HIPAA requires. Download template An authorization to use and disclose health information is a form that […]