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Nursing Foot Care Forms & Resources




Here some of the forms and resources that might help you develop your foot care practices.

These forms were compiled by Dr. Julia to try to incorporate the medical and legal aspects of high risk foot care.
But please be advised that she is not an attorney and cannot warranty that all legal issues are covered fully or appropriately.
Please have these forms reviewed by your own legal counsel.

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There is no charge to download these forms.
They are not copywrited. Feel free to personalize them for your use.


Click Here to download the forms

Forms- Foot Care Policies & Procedures: Toenail & Callus Debridement
This is a form for your Clinic or Business files. It documents your Guidelines for care.
Please make whatever changes are necessary to customize these for your particular practice style.

Charting Forms - For initial visits and another for progress notes for follow-up care

Forms- Treatment Guidelines: Hemostasis & Infection Control
This is a form for your Clinic or Business files. It documents your Guidelines for care.
Please make whatever changes are necessary to customize these for your particular practice style.

Patient Handout - Infection & Bleeding Control
This is a form you should give to your patient in the event there is a small injury (scratch or cut) during foot care.
It helps them understand what to do and it protects you legally by touching on the necessary patient teaching points that can be brought in lawsuits. Document that you gave them the form and explained it to them.

Forms - Patient Information and Contract Sheet
This is an excellent form that will introduce you to the patient. It describes the services that you will be offering and the limitations of those services. This is important for legal reasons.

Although you will examine and assess them medically, you are not there to treat any physical or medical problems. You are simply there to do "routine toenail and callous care" and refer them to other practitioners for problems discovered.
This assures that they understand your goals. This form also explains your billing procedures, visit times, etc

HIPPA compliance forms for foot care providers

These forms are not copyrighted and you are free to change it or use it any way you wish.