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Seating/Mobility Evaluation To be completed by Physiatrist, Physical Therapist or Occupational Therapist PATIENT INFORMATION Name DOB Address Physician Phone MD UPON / NPI # MD Phone Therapist Spouse/Parent/Caregiver

How to fill out seating and wheeled mobility

How to fill out seating and wheeled mobility

1. Step 1: Start by assessing the individual's seating and mobility needs. This can involve evaluating their physical condition, functional abilities, and postural support requirements.
2. Step 2: Measure the individual for the appropriate seating system. This includes taking measurements of their body dimensions, range of motion, and weight distribution.
3. Step 3: Choose the right seating and wheeled mobility equipment based on the assessment and measurement results. This may involve selecting a wheelchair, positioning cushions, back supports, or other specialized seating accessories.
4. Step 4: Adjust and customize the seating and wheeled mobility equipment to fit the individual comfortably. This can include adjusting seat height, backrest angle, armrest width, and footrest positioning.
5. Step 5: Train the individual on how to properly use and maintain the seating and wheeled mobility equipment. This includes teaching them how to transfer in and out of the wheelchair, maneuver it safely, and perform routine maintenance tasks.
6. Step 6: Regularly reassess and make any necessary modifications to the seating and wheeled mobility equipment as the individual's needs change over time.
7. Step 7: Provide ongoing support and follow-up to ensure the individual's seating and wheeled mobility needs are met and address any concerns or issues that arise.

Who needs seating and wheeled mobility?

1. Individuals with mobility impairments or disabilities who have difficulty sitting or moving independently may benefit from seating and wheeled mobility equipment.
2. People with conditions such as spinal cord injuries, cerebral palsy, multiple sclerosis, muscular dystrophy, or limb amputations often require specialized seating and wheeled mobility solutions.
3. Those with limited mobility due to aging, injury, or illness may also benefit from seating and wheeled mobility equipment to improve their comfort, independence, and overall quality of life.
4. Seating and wheeled mobility can help individuals with postural support needs, pressure management requirements, or those who require assistance with daily activities and functional mobility.
5. It is important to consult with healthcare professionals, therapists, and mobility specialists to determine if seating and wheeled mobility equipment is appropriate for an individual's specific needs.

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What is seating and wheeled mobility?

Seating and wheeled mobility refers to the equipment and devices used to support a person's posture and allow for independent movement, such as wheelchairs and seating systems.

Who is required to file seating and wheeled mobility?

Individuals who require seating and wheeled mobility devices due to a medical condition or disability are required to file for these accommodations.

How to fill out seating and wheeled mobility?

Filling out seating and wheeled mobility forms typically involves providing information about the individual's medical condition, mobility needs, and recommendations from healthcare professionals.

What is the purpose of seating and wheeled mobility?

The purpose of seating and wheeled mobility is to promote comfort, support proper positioning, and enhance independence and mobility for individuals with disabilities.

What information must be reported on seating and wheeled mobility?

Information such as the individual's medical history, current mobility needs, wheelchair specifications, and recommendations from healthcare providers must be reported on seating and wheeled mobility forms.