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Hammersmith Functional Motor Scale Form

Use a Hammersmith Functional Motor Scale Pdf template to make your document workflow more streamlined.

What the Hammersmith form records

The Hammersmith Functional Motor Scale Form is a clinical assessment document used to record motor-function observations and scores for a patient. A clinician completes the applicable assessment fields, dates the evaluation, and signs the record according to the organization’s clinical policy. In signNow, a provider uploads the form, adds fields to the existing layout, assigns them to participants, sends the document, and receives a completed copy with an audit trail. The platform manages document execution; it does not interpret scores, diagnose conditions, or replace professional judgment.

Who uses Hammersmith assessments

The form is most useful where clinicians need consistent motor-function documentation, attributable signatures, and controlled access to patient records.

  • Pediatric neuromuscular clinics can use the form to document clinician-entered motor-function assessments during longitudinal patient visits and maintain signed records for care coordination.
  • Rehabilitation practices can assign assessment fields to clinicians, collect completed evaluations remotely, and retain the signed Hammersmith record with supporting workflow evidence.
  • Hospital research teams can standardize form completion across participating staff, restrict access to authorized users, and preserve an auditable copy for approved study documentation.

These tasks are executed by both individual contributors and centralized administrators depending on organizational policy and required controls.

How the Hammersmith form workflow works

The digital workflow moves the Hammersmith assessment from uploaded document to completed, traceable clinical record.

  • Upload form: Upload the Hammersmith Functional Motor Scale Form PDF.
  • Add fields: Place fields for scores, dates, initials, and signatures.
  • Send securely: Send the assigned assessment to the clinician or patient.
  • Archive record: Complete, audit, and store the signed record.

Complete the Hammersmith form online

Follow these steps to prepare, route, complete, and retain a signed Hammersmith Functional Motor Scale Form.

  • Upload form:

    Upload the approved Hammersmith PDF.
  • Place fields:

    Add score, date, and signature fields.
  • Assign roles:

    Assign fields to the clinician or patient.
  • Send document:

    Send the assessment through signNow.
  • Complete assessment:

    Review and sign each required field.
  • Store record:

    Download the signed form and audit trail.
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How the audit trail records each action

The audit trail records identity, timing, integrity, and retrieval events for each completed Hammersmith Functional Motor Scale Form.

01

Signer authentication:

Records the clinician or signer authentication event.
02

Timestamp capture:

Captures the exact date and time of each action.
03

Document hashing:

Creates a document hash for integrity checking.
04

Tamper-evident sealing:

Seals completed records against unauthorized changes.
05

Action logging:

Logs views, edits, signatures, and status changes.
06

Audit export:

Exports the audit trail with the completed form.

Features for Hammersmith assessments

signNow provides document, signing, and audit controls that map directly to the fields and review steps used in a Hammersmith Functional Motor Scale Form workflow.

Field placement

Upload the existing Hammersmith Functional Motor Scale Form and add score, date, initials, and signature fields without recreating the assessment layout.

Role assignment

Assign each clinical field to the correct participant so clinicians and patients complete only the information required from them.

Remote delivery

Send the assessment by email or signing link when remote completion is appropriate for the care workflow.

Audit trail

Capture timestamps, signer activity, and document history to support review of the completed Hammersmith assessment.

Mobile access

Use mobile apps when clinicians need to review or complete the form away from a workstation.

Record storage

Preserve the signed form and completion record in a controlled repository for later clinical or compliance review.

Security controls for clinical forms

Encryption at rest:

AES-256 at rest

Encryption in transit:

TLS 1.2/1.3 in transit

Healthcare protection:

HIPAA with BAA

Independent assurance:

SOC 2 Type II certified

Security management:

ISO 27001 certified

Electronic signatures:

ESIGN and UETA compliant

Connect clinical form workflows

Connect Hammersmith assessment workflows with healthcare records, secure storage, and team collaboration tools while preserving traceable document status and access controls.

Salesforce
Procore
Zapier
Microsoft Teams
Hub spot
Box
Microsoft

Best practices for completing the form

A controlled workflow protects the patient record while keeping each Hammersmith assessment attributable, complete, and reviewable.

Verify patient details before sending

Confirm the patient identifier, assessment date, and clinician assignment before sending the Hammersmith form. Compare each populated field with the source record so an incorrect patient or outdated assessment cannot be signed accidentally.

Assign fields to named participants

Assign every score, signature, and date field to a named participant. Avoid shared accounts, because individual attribution makes the audit trail more useful when the clinical record is reviewed.

Review the completed assessment carefully

Review the completed Hammersmith assessment before finalizing it. Confirm required scores are present, signatures appear in the intended places, and the final PDF matches the approved clinical template.

Restrict access to clinical records

Limit access to staff who need the assessment for care, administration, or compliance. Use role-based permissions and preserve the audit trail with the signed document in controlled storage.

Privacy pitfalls in clinical assessments

  • Patient names, diagnoses, and scores can appear together, increasing exposure if recipients or storage permissions are configured incorrectly.
  • A missing consent record can leave the clinic unable to demonstrate that a patient agreed to electronic delivery or signature.
  • Shared accounts obscure which clinician entered or approved a patient’s Hammersmith assessment.
  • Sending a completed assessment to the wrong email address can disclose protected health information beyond the intended care team.

Troubleshooting Hammersmith form workflows

Resolve upload, signing, privacy, plan, legal, and retention questions before relying on a completed Hammersmith Functional Motor Scale Form.

Upload the original PDF again and confirm the Hammersmith Functional Motor Scale Form is not password-protected. signNow can auto-detect fillable fields, but a flattened or restricted file may require manual field placement before sending.

Check that the signer’s email address is correct and resend the invitation from the document status view. Business includes templates, audit trails, and legally binding eSignatures; a signer does not necessarily need a signNow account to complete the form.

Use signNow’s SMS authentication or another available signer-authentication control when the clinical workflow requires stronger identity evidence. HIPAA-covered use requires a business associate agreement with signNow and appropriate access controls.

Business is listed at $8 per user per month with annual billing. Business Premium is $15 per user per month and adds bulk send. Confirm current limits before distributing repeated clinical assessments.

Electronic signatures can satisfy ESIGN and applicable UETA requirements when intent, consent, attribution, and record retention are established. The Hammersmith scale itself does not replace clinical authorization or documentation policies.

Export the completed form and audit trail, then preserve them in an access-controlled repository. HIPAA documentation retention is six years from creation or the last effective date under 45 CFR 164.530(j).

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