Orthopedic Injury Assessment Form

Streamline Your Orthopedic Practice with a Digital Injury Assessment Form

For orthopedic clinics, physical therapy practices, and sports medicine centers, gathering detailed patient information before the first visit is crucial for accurate diagnosis and treatment planning. This orthopedic injury assessment form helps healthcare providers collect comprehensive injury details, mobility assessments, and treatment history—all before the patient walks through the door.

Why Digital Forms Matter for Orthopedic Practices

Paper intake forms mean manual data entry, illegible handwriting, and incomplete information. With Paperform's orthopedic assessment template, you can:

• Collect structured injury data including mechanism of injury, symptom severity, and functional limitations
• Use conditional logic to show relevant follow-up questions based on injury type and location
• Integrate with your EHR or practice management system via Stepper, Zapier, or direct webhooks
• Save clinical time by reviewing detailed patient histories before the appointment begins

This template is designed for orthopedic surgeons, sports medicine physicians, physical therapists, chiropractors, and any healthcare provider treating musculoskeletal injuries.

Automate Your Intake Workflow with Stepper

Once a patient submits their assessment, you can use Stepper to automatically:

• Create or update patient records in your EHR system
• Send the assessment summary to the treating provider
• Schedule follow-up appointments based on injury severity
• Trigger insurance verification workflows for surgical consultations

HIPAA Compliance Considerations

Please note that Paperform is not a HIPAA-compliant solution. For practices that require HIPAA compliance for handling protected health information (PHI), additional safeguards and agreements would be necessary. This form is ideal for preliminary screening and non-PHI data collection, or for practices in regions without HIPAA requirements.

Trusted by healthcare practices worldwide, this orthopedic injury assessment form template helps you provide better patient care while streamlining your administrative workflows.