Chronic Regional Pain Syndrome (CRPS) Screening Form

Streamline CRPS Screening with Paperform

Complex Regional Pain Syndrome (CRPS) is a challenging condition to diagnose, often requiring careful assessment of pain patterns, autonomic dysfunction, and functional impact. This Chronic Regional Pain Syndrome Screening Form template helps healthcare providers, pain specialists, and rehabilitation clinics systematically evaluate patients presenting with suspected CRPS symptoms.

Built for medical practices that need structured, compliant patient assessments, this template guides clinicians through the essential diagnostic criteria: pain disproportionate to the initial injury, sensory and autonomic changes, motor and trophic alterations, and functional limitations. The form captures baseline pain scores, symptom duration, location mapping, and psychosocial factors that may influence treatment planning.

Why Healthcare Providers Choose Paperform

Unlike rigid clinical survey tools, Paperform lets you create professional, HIPAA-alternative compliant forms that match your practice's workflow. Use conditional logic to reveal relevant follow-up questions based on symptom severity, automatically calculate pain and functional scores inline, and route high-priority cases directly to your pain management specialists.

Integrate seamlessly with your existing systems—send screening results to your EHR via webhooks, notify your care team through Slack or email, or log assessments in Google Sheets for tracking outcomes. With Papersign, you can attach consent forms for specialist referrals or treatment plans, keeping documentation connected and audit-ready.

For practices managing multiple providers or clinic locations, Paperform's Agency+ plan offers client management features and role-based permissions, ensuring patient data stays secure while your team collaborates effectively. Plus, with SOC 2 Type II compliance and data residency controls, you can trust your screening forms meet professional security standards.

Whether you're a physical therapy practice, pain management clinic, or multidisciplinary rehabilitation center, this template gives your clinical team a head start on standardized CRPS screening—ready to customize with your protocols, branding, and referral pathways in minutes.