Pediatric Wound Healing Progress Note
Patient Name:
Date of Birth:
Medical Record #:
Date of Visit:
Wound Assessment
Location:
Size (L x W x D):
Type of Wound:
Appearance:
Exudate:
Odor:
Surrounding Skin:
Pain (0-10):
Progress Since Last Visit
Improvement/Changes:
Current Treatment
Dressings Applied:
Medications/Topicals Used:
Plan & Recommendations
Next Steps:
Follow-up Date:
Provider Signature:
Date: