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Unit 12, 8 Booth Place Calcutta WA 6021 Calcutta & Melville www.pihc.com.au REFERRAL FOR DRIVER ASSESSMENT & REHABILITATION Note: all Occupational Therapy Driver & Rehabilitation Assessments are conducted
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How to fill out driver assessment rehabilitation referral

Point by point, here is how to fill out a driver assessment rehabilitation referral:
01
Start by gathering the necessary information: You will need the full name, contact details, and date of birth of the person who needs the referral.
02
Identify the primary reason for the referral: Assess why the individual requires driver assessment rehabilitation. It could be due to a recent accident, medical condition, or disability.
03
Consult with the person's healthcare provider: Reach out to the individual's doctor, therapist, or any relevant medical professional to obtain their input and recommendations for the assessment.
04
Provide the person's medical history: Fill out the referral form with details about the person's medical background, any pre-existing conditions, and current medications they may be taking.
05
Include the person's driving history: Provide information about the individual's driving experience, including the number of years they have been driving and any previous accidents or traffic violations they have had.
06
Describe the person's functional capabilities: Assess the person's physical, sensory, and cognitive abilities that may affect their driving. Include any specific limitations or challenges they may face.
07
Indicate any assistive devices or modifications needed: If the individual requires adaptive equipment or vehicle modifications to enhance their driving abilities, mention it in the referral.
08
Add any additional notes or observations: Use this section to include any relevant information that may be helpful for the driver assessment specialist, such as the person's willingness to engage in rehabilitation or any specific concerns.
09
Obtain necessary signatures: Ensure that both the person who requires the referral and the healthcare provider providing the referral sign the document.
10
Submit the referral: Once the referral form is completed, follow the specific instructions provided by the rehabilitation center or agency to submit the referral. This may involve mailing or faxing the document.
Who needs driver assessment rehabilitation referral?
01
Individuals who have experienced a recent accident or injury that has affected their driving abilities may need a driver assessment rehabilitation referral.
02
People with certain medical conditions, such as stroke, traumatic brain injury, or conditions that cause physical impairments or cognitive deficits, may also require a driver assessment rehabilitation referral.
03
Individuals with disabilities or those who use assistive devices to aid their mobility may need a driver assessment rehabilitation referral to determine their fitness to drive and any necessary vehicle modifications or adaptations.
Remember, each situation is unique, and it's essential to consult with a healthcare professional or a driver assessment specialist to determine if a referral is necessary.
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What is driver assessment rehabilitation referral?
Driver assessment rehabilitation referral is a process where individuals with certain medical conditions are referred to undergo a driver assessment and potentially receive rehabilitation in order to assess their fitness to drive.
Who is required to file driver assessment rehabilitation referral?
Healthcare professionals, family members, or concerned individuals may be required to file a driver assessment rehabilitation referral for someone who may need to undergo assessment and rehabilitation for their driving skills.
How to fill out driver assessment rehabilitation referral?
To fill out a driver assessment rehabilitation referral, one must provide detailed information about the individual in question, their medical history, the reason for referral, and any relevant documentation supporting the need for assessment and rehabilitation.
What is the purpose of driver assessment rehabilitation referral?
The purpose of driver assessment rehabilitation referral is to ensure that individuals with medical conditions that may impact their ability to drive safely are properly assessed and receive any necessary rehabilitation in order to maintain road safety.
What information must be reported on driver assessment rehabilitation referral?
Information such as the individual's personal details, medical history, reason for referral, relevant medical documentation, and any previous driving incidents must be reported on a driver assessment rehabilitation referral.
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