PASI calculation and body diagram - face, hand and foot form (PB114)
Use this form if your patient has severe chronic plaque psoriasis of the face, or a palm of a hand, or a sole of a foot.
Download and complete the PASI calculation and body diagram - face, hand and foot form.
PASI is the Psoriasis Area and Severity Index.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.
Page last updated: 31 March 2020