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REFERRAL FOR OUTPATIENT OT SEATING AND MOBILITY FAX to the RUSK BUSINESS OFFICE (212) 2630113 Date: Patient Name: Patient Date of Birth: Patient Social Security Number: Patient Telephone Number: Contact
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How to fill out ot seating and mobility

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How to Fill Out OT Seating and Mobility:

01
Start by gathering all necessary information regarding the individual's seating and mobility needs. This may include their medical history, current functional abilities, and any specific preferences or goals they have.
02
Consult with the occupational therapist (OT) or healthcare professional responsible for the seating and mobility evaluation. They will guide you through the process and provide any necessary forms or documentation.
03
Begin by completing the demographic information section of the form. This typically includes the individual's name, date of birth, address, and contact details.
04
Move on to the medical history section, where you'll provide relevant information about the individual's conditions, disabilities, or injuries that may impact their seating and mobility needs. Be thorough and accurate in documenting any diagnoses, surgeries, or medications.
05
Next, document the individual's mobility goals and functional abilities. This may involve assessing their ability to sit, stand, walk, transfer, or use assistive devices. Include any limitations or specific requirements they have for seating or mobility equipment.
06
If applicable, complete the section related to environmental considerations. This may include assessing the individual's home or work environment for accessibility, including door widths, ramps, or other accommodations needed for safe and effective mobility.
07
Consider any additional factors that may impact the individual's seating and mobility needs, such as sensory considerations, pressure management, or postural support requirements. Consult with the OT or healthcare professional for guidance on how to address these factors in the form.
08
Finally, review the completed form for accuracy and ensure all sections are properly filled out. If any sections are unclear or require further information, consult with the OT or healthcare professional before submitting the form.

Who Needs OT Seating and Mobility:

01
Individuals with physical disabilities or limitations that affect their ability to sit, stand, walk, or transfer independently may require OT seating and mobility services. This includes individuals with conditions such as spinal cord injury, muscular dystrophy, cerebral palsy, or amputations.
02
People with chronic illnesses or degenerative conditions that affect their mobility, such as multiple sclerosis, Parkinson's disease, or arthritis, may benefit from OT seating and mobility interventions.
03
Individuals recovering from surgeries or injuries that impact their ability to move or perform daily activities may also need OT seating and mobility. This could include individuals post-stroke, post-hip replacement, or post-spinal surgery.
04
Children with developmental delays or disabilities that affect their mobility may require OT seating and mobility to support their growth, development, and participation in daily activities.
05
Older adults experiencing age-related changes in physical function or those with age-related conditions such as osteoporosis or osteoarthritis may benefit from OT seating and mobility interventions to maintain independence and prevent falls.
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OT seating and mobility refers to the assessment and intervention provided by occupational therapists to improve a person's ability to move and function in their daily activities through the appropriate seating and mobility equipment.
Occupational therapists who are assessing and providing interventions for individuals who have difficulties with seating and mobility are required to file OT seating and mobility reports.
OT seating and mobility reports should be filled out by documenting the assessment findings, interventions provided, equipment recommendations, and progress made by the individual.
The purpose of OT seating and mobility is to improve the individual's ability to move and function in daily activities by providing appropriate seating and mobility equipment.
Information such as assessment findings, interventions provided, equipment recommendations, and progress made by the individual must be reported on OT seating and mobility reports.
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