formisoft

Fall Risk Assessment (Morse Fall Scale)

Asks about assessment date, history of falling, and secondary diagnoses. Built for hospital admission and daily nursing fall risk screening using the morse fall scale.

Questions
14
Pages
2
Time
about 4 min

Includes

  • E-signature
  • Medication list
Use this templatePrint it instead

Your practice

Fall Risk Assessment (Morse Fall Scale)

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • Hospital admission and daily nursing fall risk screening using the Morse Fall Scale
  • Skilled nursing facility resident fall risk evaluation and care plan development
  • Rehabilitation center patient safety assessment and fall prevention documentation
  • Home health agency initial and periodic fall risk stratification visits

Formisoft for Physical Therapy

What's inside

Before you publish: Clinical review required: this worksheet does not calculate scores, diagnose, or recommend treatment. Confirm the questions and response options against your approved assessment protocol before use.

Page 1 · Your information

  1. Full NameText · Required
  2. Assessment DateDate
  3. History of FallingLong Text
  4. Secondary DiagnosesLong Text
  5. Ambulatory Aid UsedLong Text

Page 2 · Additional details

  1. Mental StatusLong Text
  2. Morse Fall Scale ScoreNumber
  3. Risk Level ClassificationLong Text
  4. Fall-Risk MedicationsMedications
  5. Environmental HazardsLong Text

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Fall Risk Assessment (Morse Fall Scale), and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

Related templates

All templates

Questions

Formisoft provides secure form collection and a Business Associate Agreement (BAA). Your practice must review the form content, access permissions, and sharing workflow for its requirements.

Yes. You can add, remove, reorder, or reword any of the 14 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Patients open a secure link from an email, a text, or a QR code and complete the form on their phone, tablet, or computer before their appointment. No app download required.

Yes, on Front Desk. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Yes. The Fall Risk Assessment (Morse Fall Scale) works on any device. Most patients complete intake forms on their phone, so every template is built for small screens first.

Send it before the visit, so patients arrive ready.

Add the Fall Risk Assessment (Morse Fall Scale) to your account and make it yours in a few minutes.

Cancel anytime · BAA included

Use this templateBook a demo