Rokeach values survey template: Free PDF and all 36 values
Download your free Rokeach Values Survey A one-page ranking worksheet with fields for the client’s name and date. Blank boxes follow for their top five terminal values and top five instrumental values. The full lists of all 36 values are further down this page. Download template The Rokeach Values Survey is a values-ranking instrument used […]
Medical examination report
Download your free medical examination report template A comprehensive form for documenting psychiatric assessments, occupational health evaluations, and clinical examinations. It includes personal history, examination findings, risk assessment, and examiner determination sections. Download template A medical examination report is a structured clinical document completed by a licensed examiner to record a person’s physical and mental […]
Referred pain map: Clinical reference chart
Download your free referred pain map The chart maps somatic trigger point referrals, visceral organ referrals, and cardiac patterns by body region. Each zone lists the structures to palpate first, with the anatomical landmarks to work from. Download template Patients point to where pain is felt, not to where it starts. A referred pain map […]
Stroke nursing care plan: NANDA diagnoses and interventions
Six NANDA diagnoses, the blood pressure ceiling for each stroke scenario, and a free care plan template to download.
Food portion size chart: Free PDF template
Download your free food portion size chart template A printable clinical form for building one patient’s portion plan. Record height, weight, activity level and dietary requirements, then write the agreed servings against each food group. Complete it during the consultation and send a copy home. Download template A food portion size chart translates serving advice […]
Sensory profile questionnaire: Free PDF template
Download your free sensory profile questionnaire template A six-section observation form covering auditory, visual, touch, movement, body position, and oral processing. It carries 52 rated items, a response key, a raw score total per section, and a scoring summary page. Download template A sensory profile questionnaire rates how often a person reacts to sensory input, […]
General Information Sheet Template
Download your free general information sheet A ready-to-use intake form covering personal details, contact information, medical history, allergies, current medications, and emergency contacts. It closes with consent and data-protection declarations for the patient to sign before their first appointment. Download template A general information sheet is the first document most patients complete for your practice. […]
COWS Assessment Form
Download your free COWS assessment form An 11-item clinician-administered scale for rating opioid withdrawal severity. It carries the scoring anchor for every item, the four interpretation bands from mild to severe, and the treatment guidance that follows each band. Download template Opioid withdrawal is easy to underrate at the bedside. The Clinical Opiate Withdrawal Scale […]
Risk for aspiration nursing care plan: Free template
Download your free risk for aspiration nursing care plan template A bedside-ready care plan with assessment fields, the NANDA-I diagnosis statement, measurable goals, an intervention checklist with rationale, and an evaluation column for every review. Print it, or import the fields into your practice’s record system. Download template A risk for aspiration nursing care plan […]
Return to Work Doctor’s Note
Download your free return-to-work doctor’s note A one-page, ready-to-print form with fields for patient details, examination date, clearance statement, work restrictions, an optional diagnosis line, and the provider’s signature block. Add your practice header, then hand it to the patient at the end of the visit. Download template A return-to-work doctor’s note confirms that a […]