Use our readymade template to create your FLACC Behavioral Pain Scale
Create your care assessments
| FLACC score | Level of Pain | Proposed treatment |
|---|---|---|
| 0 | Relaxed and comfortable | May not need treatment |
| 1-3 | Mild discomfort | Watchful waiting |
| 4-6 | Moderate pain | Consider medication |
| 7-10 | Severe discomfort/pain | Immediate initiation |
- Prebuilt template with FLACC scoring to assess the presence of pain and measure its severity
- 5-item questionnaire that scores each of the 5 criteria as “0” (relaxed and comfortable) to “2” (severe discomfort/pain)
- Real-time calculation of FLACC Score and pain level based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of pain
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Face | Frequent to constant quivering chin, clenched jow |
| Legs | Kicking or legs drawn up |
| Activity | Arched, rigid or jerking |
| Cry | Crying steadily, screams, sobs, frequent complaints |
| Consolability | Difficult to console or comfort |
| FLACC Score | 10 |
| Level of Pain | Severe discomfort/pain |
- Pre-populate patient details such as patient id, name, email etc in the FLACC assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their FLACC assessment form prior to their visit
- Allow patients to save their progress and complete their FLACC assessment form at a later time without losing any responses
- Set up an email template for your FLACC assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their FLACC score, diagnosis, next steps when they submit their FLACC assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | Face | Frequent to constant quivering chin, clenched jow | 2 | 10 |
| 3 | John W | Legs | Kicking or legs drawn up | 2 | 10 |
| 4 | John W | Activity | Arched, rigid or jerking | 2 | 10 |
| 5 | John W | Cry | Crying steadily, screams, sobs, frequent complaints | 2 | 10 |
| 6 | John W | Consolability | Difficult to console or comfort | 2 | 10 |
- Export patient responses including the calculated FLACC score and pain level to Google Sheets for easy record-keeping
- Export individual points for 5 criteria to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their pain symptoms
- Receive a copy of the response and the calculated FLACC score by email whenever a patient submits their FLACC assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Face: | Frequent to constant quivering chin, clenched jow |
| Legs: | Kicking or legs drawn up |
| Activity: | Arched, rigid or jerking |
| Cry: | Crying steadily, screams, sobs, frequent complaints |
| Consolability: | Difficult to console or comfort |
| FLACC Score: | 10 |
| Level of Pain: | Severe discomfort/pain |
| FLACC Score: | 10 |
| Level of Pain: | Severe discomfort/pain |
- Create a HIPAA compliant FLACC assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting FLACC form responses to Google Sheets and sending them on email
- Prepopulate patient details in FLACC assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 27, 2023
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July 23, 2023
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February 16, 2024
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October 31, 2023
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