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Seating/Mobility Evaluation Name: Date Referred: Address: Phone: Date of Evil: Physician: Age: Sex: OT: Funding: Height: PT: Referred By: Weight: Soc. Sec. No: Reason for Referral: Patient Goals:
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What is seatingmobility evaluation?
Seating mobility evaluation is an assessment conducted by a healthcare professional to determine the seating and mobility needs of an individual, including the use of specialized equipment like wheelchairs and seating systems.
Who is required to file seatingmobility evaluation?
Individuals who have mobility impairments and require assistive equipment for seating and mobility are required to undergo seating mobility evaluation.
How to fill out seatingmobility evaluation?
Seating mobility evaluations are typically conducted by healthcare professionals such as physical therapists, occupational therapists, or seating specialists.
What is the purpose of seatingmobility evaluation?
The purpose of seating mobility evaluation is to assess the individual's specific seating and mobility needs in order to recommend the most appropriate assistive equipment.
What information must be reported on seatingmobility evaluation?
Seating mobility evaluations typically include information on the individual's medical history, functional abilities, postural support needs, and environmental considerations.
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