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