Posture Analysis Form

50 tear-off sheets
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Sample of Completed Posture FormEquip Patients to See What You See

If your clinical focus is curve restoration and functional improvement, this is an essential ROF form. Patients take notice when you demonstrate how disfigured they really are. That's the purpose of this popular patient report handout. 

Simply fill in the patient’s name, date and your practice information. On the posterior view, record head tilt or range-of-motion limitations. Draw any scoliosis, uneven shoulders or unbalanced hips. Record the weights from your bi-lateral scales.

Use the lateral view to show a forward head carriage, loss of curve, spondylolisthesis or other problems. Make your orthopedic examination findings more meaningful by turning millimeters, degrees and arcs into something patients can understand. And take home!

After you explain your annotations, place it in the patient’s VIP Folder to take home and show others.

When completed, it might look something like this example to the right.

Do you conduct spinal screenings? Here's a great way to record your findings and present a copy for each potential new patient.

Posture Report of Findings Form Click Use Me Button for Implementation Ideas
Pad of 50
Indicate Left- or Right-Facing (shown)
8½" X 11"

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