AI
Marketing
Print
Document
Templates
Business
Categories
Marketing
Document
Free Wound Assessment Form

Wound Assessment Form
Please complete this form to evaluate and document the characteristics, severity, and progression of wounds.
Date
Patient Name
Patient ID Number
Assessor Name
Patient Information
Age
Weight (kgs)
Gender
Male
Female
Smoking
Alcohol
Allergies
Diseases
Medications
Wound Type
Duration of Wound
Previous Treatments
Wound Location
Wound Assessment
Tissue Type
Exudate Type
Any Infections
Swab taken:
Wound Edge Assessment
Periwound Tissue Skin Assessment
Treatment Plan
Management Goals
Treatment Choice
Date of Next Visit
Main Objective at Next Visit
Assessment Forms @ Template.net
Thank you for submission!
We appreciate you taking the time to submit.
Create free forms at Template.net
- 100% Customizable, free editor
- Access 1 Million+ Templates, photo’s & graphics
- Download or share as a template
- Click and replace photos, graphics, text, backgrounds
- Resize, crop, AI write & more
- Access advanced editor
Ensure accurate wound evaluations with Template.net’s Wound Assessment Form Template. This fully customizable and editable form is designed to help healthcare professionals document wound characteristics and track healing progress. With the Ai Editor Tool, you can quickly personalize the template to suit individual cases, ensuring a comprehensive and professional approach to wound care management every time.