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This document is an evaluation form for assistive technology related to physical therapy, intended to gather important information about the student's physical abilities and needs for seating, positioning,
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How to fill out information form for assistive

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How to fill out Information Form for Assistive Technology Evaluation: Physical Therapist

01
Begin by entering the patient's full name at the top of the form.
02
Provide the patient's date of birth and contact information.
03
Describe the patient's current physical condition and any specific diagnoses.
04
Detail the patient's medical history relevant to assistive technology needs.
05
List any previous assistive devices used and their effectiveness.
06
Note the patient's daily living activities and any limitations encountered.
07
Include information on the patient's environment, such as home or workplace setup.
08
Specify any specific goals for assistive technology based on the patient's needs.
09
Ensure to sign and date the form before submitting it.

Who needs Information Form for Assistive Technology Evaluation: Physical Therapist?

01
Patients who require evaluation for assistive technology to improve their mobility or daily living activities.
02
Individuals with physical disabilities that affect their ability to perform tasks independently.
03
Caregivers or family members looking to obtain assistive devices for their loved ones.
04
Healthcare professionals seeking assistance for their patients in acquiring necessary technology.
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a four-part model intended to promote collaborative decision- making in all phases of assistive technology service design and delivery from consideration through implementation and evaluation of effectiveness. It is used in schools throughout the country.
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The AT Assessment process is a comprehensive and thorough evaluation of the student's needs, their environments, the tasks or goals they are wanting to achieve and the possible AT tools that may help facilitate these goals.
Assistive technology evaluations, by definition, focus on tools and methods that will allow the student to access the curriculum. An assistive technology evaluation includes: A review of the student's educational history as provided by parents, teachers, therapists, and school district personnel.
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The Information Form for Assistive Technology Evaluation: Physical Therapist is a document that assists in the evaluation process for recommending appropriate assistive technology devices and services tailored to an individual's needs.
Typically, physical therapists and other healthcare professionals involved in the assessment and recommendation of assistive technology are required to file this form, particularly when it is necessary for obtaining funding or support for the assistive devices.
To fill out the form, the evaluator should provide detailed information about the individual's physical abilities, limitations, specific needs for assistive technology, and any observations made during the evaluation process. It's essential to follow the guidelines provided with the form.
The purpose of the form is to facilitate communication among healthcare providers, ensure accurate documentation of the individual's needs, and support the justification for the recommended assistive technology solutions.
The form must report information including the individual's personal identification details, medical history, current physical abilities, specific assessments conducted during the evaluation, recommendations for assistive technology, and any other relevant documentation supporting the need for the technology.
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