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Prosthetic Limb Users Survey of Mobility (PLUS) Version 1.2 UK English 12item Short Form www.plusm.org PLUS 12item Short Form (v1.2) PLUS 12Item Short Form (v1.0) Name: Date: Instructions: Please
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How to fill out plus-m 12-item short form
How to Fill Out Plus-M 12-Item Short Form:
01
Gather all the necessary information: Before filling out the Plus-M 12-item short form, make sure you have all the required information handy. This may include personal details, such as your name, address, and contact information, as well as any relevant medical information.
02
Read the instructions carefully: Take your time to thoroughly read the instructions provided with the form. It is important to understand the purpose of each section and how to accurately complete it.
03
Start with personal information: Begin by filling out your personal details, such as your full name, date of birth, gender, and contact information. Be sure to double-check the accuracy of the information before moving on to the next section.
04
Provide medical history: One of the main purposes of the Plus-M 12-item short form is to gather information about your medical history. Fill out the relevant sections regarding any past or current medical conditions, allergies, medications, surgeries, or any other information that may be required.
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Answer the questionnaire: The form may include a series of questions related to your physical and mental health. Take your time to answer each question honestly and to the best of your knowledge. If you are unsure about any question, consider seeking assistance from a healthcare professional.
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Review and proofread: Once you have completed filling out the entire form, carefully review each section for accuracy and completeness. Ensure that all required fields are properly filled in and that there are no errors or missing information.
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Seek clarification if needed: If you come across any ambiguous or confusing sections in the form, do not hesitate to seek clarification. Reach out to the relevant authorities or healthcare professionals who can help you provide the correct information.
Who Needs Plus-M 12-Item Short Form:
01
Individuals seeking healthcare services: The Plus-M 12-item short form is typically required by healthcare providers as part of their assessment and evaluation process. Patients who are scheduling appointments, undergoing medical procedures, or seeking diagnosis and treatment may be asked to fill out this form.
02
Medical research participants: Researchers conducting studies, clinical trials, or collecting data related to specific medical conditions may also require participants to complete the Plus-M 12-item short form. This form helps gather relevant information for research purposes.
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Healthcare professionals and institutions: In some cases, healthcare professionals or institutions may use the Plus-M 12-item short form to maintain patient records or for administrative purposes. This aids in efficiently managing and organizing patient information for better healthcare delivery.
Remember, it is important to follow the specific instructions provided with the Plus-M 12-item short form as it may vary based on the purpose or the organization requesting it.
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What is plus-m 12-item short form?
The plus-m 12-item short form is a condensed version of the plus-M assessment tool used to measure mental health outcomes.
Who is required to file plus-m 12-item short form?
Healthcare providers and organizations may be required to file the plus-m 12-item short form as part of their mental health assessment process.
How to fill out plus-m 12-item short form?
The plus-m 12-item short form can be filled out by completing the 12 questions that assess mental health outcomes.
What is the purpose of plus-m 12-item short form?
The purpose of the plus-m 12-item short form is to quickly evaluate mental health outcomes in a concise manner.
What information must be reported on plus-m 12-item short form?
The plus-m 12-item short form requires information related to mental health outcomes based on the responses to the 12 assessment questions.
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