Complete Head to Toe Assessment
General Survey (mental status & appearance):
Head:
Eyes:
Ears:
Nose:
Mouth:
Neck:
Thorax/Lung/Back Assessment:
Cardiac/Central Vessel Assessment:
Gastrointestinal:
Genitourinary:
Musculoskeletal/Neuro/PV Assessment:
Other: (Add any additional findings here)
Actual/Potential Risk Factors:Complete Head to Toe Assessment