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Fall Risk Assessment Form

$3.00

This printable Fall Risk Assessment Form helps healthcare providers identify and document risk factors in patients, supporting early interventions and proactive fall prevention in medical or caregiving environments.

Specification

Overview

Number of Pages

04 Pages

File Type(s)

PDF

Dimensions

US letter (8.5 x 11 in)

Language

English

Delivery Method

Instant Digital Download — No physical item will be shipped

Usage

Unlimited prints allowed

Description

Support patient safety with this ready-to-use Fall Risk Assessment Form—designed to assist healthcare professionals in identifying and documenting key fall-related risks. The structured format promotes thorough evaluation and informed planning.

  • Patient Information
  • Fall History
  • Mobility & Gait Assessment
  • Medications
  • Cognitive/Mental Status
  • Sensory Deficits
  • Elimination
  • Environmental Factors
  • Other Risk Factors
  • Risk Level Determination
  • Intervention Plan
  • Multidisciplinary Communication
  • Reassessment Plan

This tool is ideal for nurses, therapists, clinical staff, and caregivers in hospitals, senior residences, rehabilitation centers, and home care settings. It supports a team-based approach to assessing fall risk and contributes to preventative care efforts in day-to-day operations.

Customer Reviews

Samantha R.

Super easy to download and print. The layout is clear and very useful for my daily tasks!

Mark T.

Exactly what I needed! Saved me time and looks professional. Will definitely purchase more from this shop.

Elena G.

Simple, clean design and very well-organized. I use it weekly and it’s made my life easier.

Jordan P.

 I love how convenient this is. Great value for the price and super helpful for staying on track.

Ava L.

 The design is great and it printed nicely, but I wish there were more layout options included. Still happy overall!

Caleb M.

 The files were delivered instantly and everything was just as described. Highly recommend this shop!