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.

PASI is the Psoriasis Area and Severity Index.

 
This form can be uploaded through HPOS. Read more about form upload in HPOS.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
This information was printed Sunday 26 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/forms/pb114 It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 13 February 2019