Printing Instructions

After clicking the "Print" button please make sure to do the following:

  1. Set the printer or destination to "Print to PDF".
  2. Click on "More Settings".
  3. Set the printing scale at 65%.
  4. If the document is still looking off please do the following:
    • Go to the "Margins" section and select "Custom"
    • Go to each side of the document and please set the margin to 0.4"
    • In the "Options" section make sure to check off "Headers and Footers" and "Background Graphics"

Close

Cervical Range of Motion
%
%
%
%
%
%
Lumbar Range of Motion
%
%
%
%
%
%
Motor:
C5: /5 /5 L1-3: /5 /5
C6: /5 /5 L4: /5 /5
C7: /5 /5 L5: /5 /5
C8: /5 /5 S1: /5 /5
T1: /5 /5
Sensory:
Light Touch: C5 - T1 Bilat WNL/ Hypo/ Hyper
L1 - S1 Bilat WNL/ Hypo/ Hyper
Reflexes: Peripheral Pulse:
bilat
bilat
bilat
Orthopedic Tests:
()
()
()
() degrees
() degrees
() L R
() L R
SegmentalDysfunction
C: 0 1 2 3 4 5 6 7 T
T: 1 2 3 4 5 6 7 8 9 10 11 12
L: 1 2 3 4 5
SI L R Short Leg

Printing Instructions