This hidradenitis suppurativa assessment form is designed for clinical use when a provider needs a clear, consistent picture of a patient's condition. It brings together patient identifiers, diagnosis history, symptom onset, family history, and current treatment details so the assessment can be reviewed in one place.
The template supports documentation of disease severity, lesion patterns, pain, infection concerns, and whether dermatology or surgical referral may be appropriate. It works well for new patient evaluations, ongoing monitoring, and follow-up visits where consistent records make changes over time easier to spot.
If you are looking for the best form builder for WordPress for healthcare-related workflows, this template provides a practical starting point for a focused HS assessment. You can tailor the questions to match your intake process, referral criteria, or documentation standards while keeping the form specific to hidradenitis suppurativa care.
