Podiatry Foot & Ankle Symptom Assessment Form

Streamline Your Podiatry Practice with a Professional Symptom Assessment Form

When patients arrive for their podiatry appointment, having detailed information about their foot and ankle concerns beforehand allows you to provide better, more focused care. This Podiatry Foot & Ankle Symptom Assessment Form is designed specifically for podiatrists, foot clinics, and healthcare practices that need to gather comprehensive patient information before appointments.

Built for Modern Podiatry Practices

This template covers everything from chief complaints and pain assessment to gait evaluation, footwear analysis, and critical diabetes foot screening questions. By collecting this information digitally before patients arrive, you can:

• Save valuable appointment time by reviewing symptoms and medical history in advance
• Identify urgent cases that may need prioritized scheduling
• Prepare appropriate diagnostic tools based on reported symptoms
• Ensure comprehensive diabetes foot screening for at-risk patients

Designed for Healthcare Workflows

Paperform is trusted by healthcare providers for its professional design capabilities and SOC 2 Type II compliance standards. This template uses conditional logic to show diabetes-specific screening questions only when relevant, creating a personalized experience for each patient.

You can customize this form to match your practice's branding, embed it on your website, or send it directly to patients via email. Patient submissions sync automatically with your practice management system through integrations with tools like Google Sheets, Airtable, or through Stepper to create automated workflows that update your EMR, send appointment reminders, or flag high-risk cases for immediate review.

Complete Patient Care Documentation

This form captures the essential information podiatrists need: symptom duration and severity, previous treatments, footwear evaluation, gait concerns, and comprehensive diabetes foot risk factors. The professional layout ensures patients can complete the assessment easily on any device, while you receive organized, actionable data that improves clinical outcomes.

Whether you're a solo practitioner or managing a multi-location foot clinic, Paperform gives you the flexibility to create patient-facing forms that look professional, collect the right information, and integrate seamlessly into your existing healthcare workflows.