Leg Ulcer Assessment Form

The revised Leg Ulcer Assessment Form (2015) should be used in conjunction with the Australian and NZ Clinical Practice Guideline for Prevention and Management of Venous Leg Ulcers.

The form is for competent healthcare professionals trained in leg ulcer assessment to aid leg ulcer diagnosis through history, examination and investigations.

Download the Leg Ulcer Assessment form (PDF)

Disclaimer: The NZWCS does not take any responsibility for any outcomes achieved through using this form. The form is for competent healthcare professionals (HCPs) trained in leg ulcer assessment and does not replace the HCPs clinical judgement in each individual case


The NZWCS venous ulcer pathway

The NZWCS venous ulcer pathway predicts the course of events in the treatment of patients with diagnosed venous leg ulcers. The events are specified on a time line, and all incidents, actions and interventions are identified that were required to meet the expected outcomes.

The NZWCS venous ulcer pathway sets nationally agreed clinical standards, based on the best available evidence from several groups including the New Zealand Guidelines Group.(  The pathway also forms the patients record and allows the care given by members of the multidisciplinary team, together with the progress and outcomes, to be documented.

Download the NZWCS Venous Ulcer Clinical Pathway


What is a Venous leg ulcer?

Treating Venous leg Ulcers and Maintaining Leg Health

Preventing Venous leg Ulcers


These forms were developed by the Diabetic Foot Ulcer Group, led by Leigh Shaw, Specialist Podiatrist at Tauranga Hospital, a sub-group of the NZWCS Leg Ulcer Advisory Group.

Primary Care / District Nursing Diabetic Foot Assessment Form

Secondary Care Diabetic Foot Ulcer Assessment Form



This guideline was developed by the Australian Wound Management Association and the New Zealand Wound Care Society. The guideline presents a comprehensive review of the assessment, diagnosis, management and prevention of venous leg ulcers within the Australian and New Zealand health care context, based on the best evidence available up to January 2011



Assessment, Diagnosis and Referral Pathway for Patients with Lower Leg Ulcers

thumb Lower Leg Ulcer Diagnosis

Significant challenges remain in Europe with regards to consistently offering patients with lower leg ulcers a fast and correct diagnosis, and thereby prevent lengthy treatment plans with little success and substantial patient suffering.
Too many patients are never offered the right treatment due to incorrect diagnosis and failure to see the right specialist. EWMA wishes to address this in a project with multiple deliverables addressing the current needs and challenges in leg ulcer diagnosis across Europe.   Based on the EWMA Document: 'Lower Leg Ulcer Diagnosis & Principles of Treatment'. A one-page clinical guidance with assessment, diagnosis and referral pathways for patients with lower leg ulcers was produced.

Click on the image to download or for more information go to EWMA