Resources

Resources

 

Leg Ulcer Assessment Form

The outdated Leg Ulcer Assessment Form has been reviewed and information has been updated in accordance with the new VLU assessment guidelines soon to be released. The below document is a listed format of recommendations for assessment as most organisations format their own documents.   A form will also be available here in the near future.

2025 Lower Leg Assessment Form recommendations.

 

The 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.  This will be replaced with the above 2025 Lower Leg Assessment Form

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