This appendicitis screening assessment is a client intake form designed for patients presenting with abdominal pain. It captures core identifying information alongside symptom timing, initial pain location, current pain location, and whether the pain has migrated, helping staff review possible appendicitis patterns before or during evaluation.
The template also includes focused prompts for McBurney's point tenderness and rebound tenderness, which are commonly documented during appendicitis screening. By collecting these details in a consistent order, clinics can reduce missing information and make handoff between front desk, nursing, and clinical staff more efficient.
It works well for urgent care centers, emergency departments, and primary care practices that want a more structured abdominal pain intake process. Teams can customize the wording, required fields, and follow-up questions to match their triage workflow while keeping the form specific to appendicitis-related screening.