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The Posture Evaluation Form serves as a critical tool in Indonesian healthcare and occupational health settings, designed to meet the requirements of Law No. 36 of 2009 on Health and Minister of Manpower Regulation No. 5 of 2018. This document is essential when conducting detailed postural assessments for various purposes, including clinical evaluation, workplace ergonomic assessment, and rehabilitation monitoring. The form captures comprehensive information about an individual's postural alignment, musculoskeletal status, and related physical conditions, providing healthcare providers with a standardized method for assessment and documentation. It is particularly valuable in cases requiring ongoing monitoring, workplace adaptation, or rehabilitation planning, and serves as a legal record of physical assessment in accordance with Indonesian healthcare documentation standards.

1. Patient Information: Basic demographic data including name, age, gender, occupation, and contact details

2. Assessment Date and Evaluator Details: Date of evaluation, name and credentials of the evaluator, facility information

3. Medical History: Relevant medical history, current symptoms, previous injuries or conditions affecting posture

4. Current Complaints: Present postural issues, pain areas, and related symptoms

5. Static Posture Assessment: Evaluation of standing posture from anterior, posterior, and lateral views

6. Dynamic Posture Assessment: Observation of posture during basic movements and functional activities

7. Measurements: Specific measurements including angles, distances, and deviations from normal alignment

8. Pain Assessment: Pain locations, intensity, and patterns related to postural issues

9. Findings Summary: Summary of key findings and postural abnormalities identified

10. Recommendations: Proposed interventions, exercises, or further assessments needed