Sections View Full Chapter Figures Tables Videos Full Chapter Figures Tables Videos Supplementary Content +++ Introduction ++ Table Graphic Jump LocationFavorite Table | Download (.pdf) | Print Patient Name: Date of Evaluation: Location: Type: Measurements (Length x Width x Depth): Wound Base: Signs/Symptoms of Infection (Yes/No): Girth Measures: Sensation: Peripheral Pulses: Other Tests (TCP02, Vascular Studies, X-Rays, Labs, etc.): Consultations (MD, Rehab, Social Services, Home Health, Diabetes Education, etc.): Treatment Plan (include plan, DME, home dressing supplies): 1. 2. 3. 4. 5. 6. GET ACCESS TO THIS RESOURCE Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth Get Free Access Through Your Institution Contact your institution's library to ask if they subscribe to McGraw-Hill Medical Products. Access My Subscription