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. You can fill it out on your device, or print it and complete it by hand.

You can upload this form in HPOS.

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Page last updated: 31 March 2020