Diabetic Foot Examination Form - Documentation of patient evaluation prior to shoe selection. Peripheral neuropathy is the most common component cause in the pathway to diabetic foot ulceration. Systematic screening examinations for neuropathic and vascular involvement of the lower extremities and careful inspection of feet. Complete this form to create:
Complete this form to create: Systematic screening examinations for neuropathic and vascular involvement of the lower extremities and careful inspection of feet. Documentation of patient evaluation prior to shoe selection. Peripheral neuropathy is the most common component cause in the pathway to diabetic foot ulceration.