PASI calculation and body diagram - whole body form (PB115)

Use this form if your patient has severe chronic plaque psoriasis of the whole body.

Download and complete the PASI calculation and body diagram - whole body 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.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 31 March 2020