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Body Map Template  Form

Body Map Template Form

Use a body map template template to make your document workflow more streamlined.

Should be submitted with the VA1 Referral form. Please draw on the body map in black ink using the following key to indicate the different types of injury shading or alphabetic code and provide brief details for each injury e.g. measurements of wound colour of bruise etc using arrows a ruler is provided to assist with measurement A - pressure ulcers D - excoriation red areas not broken down B - bruising E - scalds burns C - cuts wounds F - other specify S /POVA/Templates/Template VA Forms/VA1 a...
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Open the body map template download and follow the instructions
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