---
title: Psoriasis Severity Assessment Form Template | Paperform
description: Professional psoriasis assessment form evaluating disease severity, body surface area, quality of life impact, and biologic therapy eligibility for dermatology practices.
url: "https://paperform.co/templates/psoriasis-severity-assessment-form"
type: static
generatedAt: "2026-03-28T00:44:56.892Z"
---

[← Back to free form templates](/templates/)    ![Psoriasis Severity Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/psoriasis-severity-assessment-form.png)
    [Preview](https://_preview.paperform.co/ai-template/psoriasis-severity-assessment-form) [Use this template for free](/create?ai-template=psoriasis-severity-assessment-form)    [Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Telehealth](/templates/industry/telehealth/) [Physician](/templates/role/physician/)[Nurse](/templates/role/nurse/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Streamline Psoriasis Assessment with Paperform

Managing psoriasis patients requires comprehensive evaluation of disease severity, treatment response, and quality of life factors. This **Psoriasis Severity Assessment Form** template provides dermatologists, dermatology nurses, and healthcare providers with a structured, professional tool to assess body surface area involvement, symptom severity, and biologic therapy eligibility—all before the patient walks through the door.

#### Why Digital Psoriasis Assessments Matter

Traditional paper-based symptom checkers are time-consuming to complete, difficult to score consistently, and challenging to integrate into electronic health records. With Paperform's psoriasis assessment template, you can:

 - **Save valuable consultation time** by gathering detailed symptom information before appointments
 - **Standardize severity scoring** using validated assessment scales (PASI-like criteria, BSA calculations)
 - **Identify biologic therapy candidates** early in the treatment journey
 - **Track treatment outcomes** by comparing assessments over time
 - **Improve patient engagement** with accessible, mobile-friendly forms

#### Designed for Modern Dermatology Practices

This template serves multiple clinical scenarios:

**Pre-Visit Assessment**: Send to patients 24-48 hours before their appointment so you can review their current disease status and prepare treatment recommendations.

**Initial Consultation**: Use during first visits to establish baseline severity, functional impact, and treatment history.

**Treatment Monitoring**: Deploy quarterly or semi-annually to track disease progression and treatment efficacy.

**Biologic Screening**: Identify patients who may benefit from advanced biologic therapies based on severity thresholds and quality of life impact.

#### What's Included in This Template

The form guides patients through a comprehensive assessment covering:

 - **Body Surface Area (BSA) Mapping**: Visual body diagram with percentage calculations to determine extent of skin involvement
 - **Lesion Characteristics**: Erythema, scaling, thickness, and plaque morphology
 - **Symptom Severity Scoring**: Itching, pain, burning, and bleeding intensity ratings
 - **Anatomical Distribution**: Special attention to high-impact areas (scalp, face, hands, feet, nails, genitals)
 - **Quality of Life Impact**: Validated questions addressing psychological, social, and functional limitations
 - **Treatment History**: Current and previous therapies, response rates, and reasons for discontinuation
 - **Biologic Eligibility Screening**: Contraindications, infection history, and readiness for systemic therapy
 - **Photographic Documentation**: Secure image upload for visual assessment

#### Intelligent Logic and Scoring

Paperform's conditional logic automatically:

 - Calculates total body surface area affected based on patient inputs
 - Determines severity classification (mild, moderate, severe)
 - Flags patients meeting biologic therapy criteria
 - Shows or hides follow-up questions based on previous answers
 - Routes urgent cases for immediate review

#### Seamless Integration with Your EHR

Connect this form to your existing practice management systems using Paperform's native integrations or [Stepper](https://stepper.io) workflows. Automatically:

 - Send completed assessments to your EHR via API
 - Create patient records in your practice management software
 - Alert clinical staff when high-severity cases are submitted
 - Schedule follow-up appointments based on urgency scores
 - Generate PDF summaries for medical records

For practices using custom systems, webhooks and API integrations ensure your psoriasis assessments flow directly into your clinical workflow without manual data entry.

#### Compliance and Security You Can Trust

Patient health information requires the highest level of security. Paperform is **SOC 2 Type II certified** and **GDPR compliant**, ensuring that sensitive dermatological assessments and patient-reported outcomes are protected with enterprise-grade encryption and access controls.

While Paperform is not HIPAA compliant, it provides robust security measures suitable for many healthcare workflows. For practices requiring HIPAA compliance, consult your compliance officer about appropriate use cases.

#### Built for Dermatologists, Designed for Patients

The form uses patient-friendly language, visual aids, and clear instructions to ensure accurate self-reporting without medical jargon. Mobile-optimized design means patients can complete assessments on their phones while commuting or waiting, improving completion rates.

For dermatology practices serving multilingual communities, Paperform supports multiple languages, making your psoriasis assessment accessible to diverse patient populations.

#### Perfect for These Healthcare Professionals

 - **Dermatologists** conducting comprehensive psoriasis evaluations
 - **Dermatology nurses** managing patient intake and triage
 - **Rheumatologists** treating psoriatic arthritis patients
 - **Clinical researchers** collecting standardized outcome measures
 - **Teledermatology providers** conducting remote consultations
 - **Specialty pharmacies** coordinating biologic therapy initiation

#### Automate Your Clinical Workflows

Pair this form with [Stepper](https://stepper.io) to build sophisticated automation around your psoriasis assessments:

 - Automatically score PASI or BSA calculations using AI and custom formulas
 - Route severe cases to senior dermatologists for immediate review
 - Send educational materials about biologic therapies to eligible patients
 - Trigger insurance pre-authorization workflows when biologic criteria are met
 - Schedule photography appointments for patients with extensive involvement
 - Update patient portals with assessment results and recommendations

#### Customization for Your Practice

While this template provides comprehensive psoriasis assessment out of the box, you can easily customize it to match your practice's specific needs:

 - Add your practice branding, logo, and color scheme
 - Include practice-specific severity scoring systems
 - Integrate your preferred quality of life instruments (DLQI, Skindex)
 - Add fields for comorbidity screening (metabolic syndrome, cardiovascular risk)
 - Customize biologic eligibility criteria based on your prescribing patterns
 - Include insurance-specific questions for prior authorization

#### Get Started in Minutes

With Paperform's intuitive editor, you can deploy this professional psoriasis assessment form the same day. No coding required, no IT department needed—just clear, actionable patient data flowing into your practice workflow.

Trusted by healthcare providers worldwide, Paperform delivers the reliability and security modern dermatology practices need, with the flexibility and ease-of-use that keeps your team moving fast.

**Start collecting better psoriasis assessments today** and spend more time treating patients, less time chasing paperwork.
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