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Osteopathic Screening Exam
Anterior View
• • •
Standing Flexion Test
Posterior View
• • •
Seated Flexion Test
Lateral View
• • •
TART Changes
• • •
Regional Exam Performed?
Cranial Exam Performed?
Crainial Exam Normal?
Cranial Strain Pattern
Other Cranial Diagnosis
• • •
Other Cranial Findings
Cervical Evaluation Performed?
Cervical Exam Normal?
Cervical Regional Exam
• • •
Cervical Diagnosis
Thoracic Regional Exam Performed
Thoracic Regional Exam Normal
Thoracic Regional Exam
• • •
Thoracic Diagnosis
Lumbar Regional Exam Performed?
Lumbar Exam Normal
Lumbar Regional Exam
• • •
Lumbar Diagnosis
Pelvis Exam
Pelvic Regional Exam Normal
Standing PSIS
Leg Length
Seated PSIS
Sacral Sulcus Depth
PSIS Levels
L5 Diagnosis
ILA Prominence
Thomas Test
Inflare/Outflare
• • •
Pubic Symphysis
Backward Bending Test
Iliac Crest Levels
Spring Test
Iliolumbar Ligament
• • •
ASIS Levels
Counterstrain Points
• • •
Sacral Diagnosis
• • •
Innominate Diagnosis
• • •
Other Pelvic Diagnosis
OMT Plan
HVLA
• • •
Soft Tissue
• • •
MFR
• • •
Articulatory
• • •
MET
• • •

Osteopathic Exam Medical Form

General Practice

OMM/NMM Workflow Template

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