Avaliação Fisioterapêutica(1)

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Avaliação Fisioterapêutica
Data:____/____/______
Identificação:
Nome:_________________________________________________________
Data de nascimento: ____/____/______ Idade:_____ anos	
Sexo: ( ) Masc. ( )Femin.
Cor: ( ) Negra ( ) Branca ( ) Parda Civil:__________________________________________
Naturalidade:___________________________________ Profissão:______________________________________
Escolaridade:___________________________________
Ocupação:______________________________________
2. Queixa Principal
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3. História da Doença Atual - HDA
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4. Doenças Associadas
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5. Doenças Pregressas
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6. História Familiar
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7. Hábitos de Vida
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8. Diagnóstico Clínico
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9. Diagnóstico Cinético-Funcional
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10. Exame Físico:
Inspeção:
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Palpação:
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SINAIS VITAIS: FR:______ ipm FC: ______bpm PA:_______ mmHg T:_____ºC
AUSCULTA: ___________________________________________________________________
PERCUSSÃO: 
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