The TSWF Geriatrics AIM form is intended for Primary Care providers when dealing with aging patients. It focuses on incontinence, falls, dementia, frailty, osteoarthritis (hip/knee), and hearing loss. As this is a fairly new form, feedback is welcome from Internal Medicine providers and Family Medicine providers who deal with the elderly.

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Training Material for All Users

AHLTA and other training resources

Additional TSWF support

Geriatrics Recent Changes

  • 13 changes for Jan-Apr 2018 update
  • Added a clinical cue to the Family History text box (“Including, but not limited to, diabetes, heart disease, HTN, colon cancer, breast cancer, and/other cancers, and conditions that run in the family.”)
  • Added a clinical cue to the PHQ-9 ribbon (“If clinical judgement suggests, and/or patient is on anti-depressants and has a history of depression, skip PHQ-2, open ribbon, and go directly to PHQ-9.”)
  • Changed ribbon wording to: Depression Screening (PHQ-2 and PHQ-9)
  • Renamed the “Sexual Assault Toolkit” ribbon as “Sexual Assault Resources”
  • Removed the Overall Health question
  • Removed Secure Messaging question from Annual Questions field
  • Added REALM SF details and words to the forms (listed individually)
  • Placed the REALM SF scoring chart to the right of the text box with instruction:
    “The score is based on the number of words correctly read aloud.”
  • Consolidated MSK upper and lower into one tab
  • Reformatted Red Flags field
  • Moved Lifestyle/Exercise questions to Exit CCP tab
  • AUDIT-C revision:
    -Deleted previous AUDIT-C score field
    -Added AUDIT-C score to the existing date field
    -Reformatted clinical information
  • Deleted the Allergies field and added blue cue text explaining the change


  • Initial release 3Q2015
  • Aimed toward internal medicine providers
  • Includes additional guidelines for geriatric-specific issues

The form’s initial release was 3Q2015. It was developed primarily for Internal Medicine providers dealing with a more elderly population. It is compatible with the TSWF suite of AIM forms, and includes additional guidelines for review and documentation of incontinence, falls, dementia, frailty, OA of hip and knee, and hearing loss.

Form Lead

TSWF-Geriatrics Form Lead
Randy Eccles, MD, FACP

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