Hidradenitis Suppurativa Assessment Form
About this free form template

Comprehensive Hidradenitis Suppurativa Assessment for Healthcare Providers

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that requires careful clinical evaluation and documentation. This Hidradenitis Suppurativa Assessment Form template provides healthcare providers with a structured framework for evaluating disease severity, documenting lesion characteristics, tracking infection history, and determining the most appropriate treatment pathway.

Built for Dermatology, Primary Care & Surgical Practices

Whether you're a dermatologist managing complex HS cases, a primary care physician screening for specialist referral, or a surgical practice evaluating candidates for intervention, this template helps you:

  • Standardise clinical assessment across patient encounters with consistent documentation of Hurley staging, lesion location and characteristics
  • Track disease progression over time with detailed pain scales, infection frequency and quality of life impact measures
  • Streamline referral decisions with built-in logic that identifies patients requiring dermatology consultation or surgical evaluation
  • Improve patient outcomes by capturing comprehensive data that informs treatment planning and interdisciplinary care coordination

The form includes validated assessment tools, anatomical mapping for lesion documentation, infection history tracking, and conditional logic that adapts based on disease severity—ensuring you capture all the clinical information needed for effective HS management.

Automate Your Clinical Workflows with Paperform & Stepper

This template isn't just a data collection tool—it's the foundation for more efficient clinical operations. Connect your Hidradenitis Suppurativa Assessment to your existing healthcare systems:

  • Automatically populate your EHR or practice management system with structured assessment data
  • Trigger referral workflows to dermatology or surgical specialists when severity criteria are met
  • Send patient education materials and care instructions based on Hurley stage and treatment recommendations
  • Generate follow-up appointment reminders and track assessment intervals for chronic disease management

By connecting this form to Stepper, you can build automated clinical workflows that route high-risk patients to appropriate specialists, update care team dashboards, and ensure no patient falls through the cracks—all without adding administrative burden to your clinical staff.

Designed for Patient-Centred Chronic Disease Management

Hidradenitis suppurativa significantly impacts quality of life, and effective management requires ongoing monitoring and interdisciplinary collaboration. This assessment form helps healthcare teams provide consistent, evidence-based evaluation while maintaining the flexibility to adapt to each patient's unique presentation. With Paperform's secure, GDPR-compliant platform (note: not HIPAA compliant), you can deliver professional assessments that support better clinical decision-making and improved patient care.

Whether you're conducting initial screenings, monitoring treatment response, or coordinating care between primary and specialty providers, this template gives you the structure and automation capabilities to deliver more efficient, higher-quality HS assessment and management.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.