Get the free STA - Manual wheelchair referral form - Ver 0.2
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PrintdeleteMANUAL WHEELCHAIR REFERRAL FORMCONFIDENTIALLeicester Posture & Mobility Services
Instructions:
This form should be used when a client requires a wheelchair because of a permanent
illness
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How to fill out sta - manual wheelchair
How to fill out sta - manual wheelchair
01
Sit in the wheelchair and ensure it is positioned on a flat surface.
02
Adjust the wheelchair's footrests to a comfortable position.
03
Place your feet on the footrests and secure them in place.
04
Adjust the wheelchair's seat to a comfortable height and angle.
05
Position your body properly in the seat, ensuring good posture and balance.
06
Use the wheelchair's armrests for support and stability.
07
Familiarize yourself with the wheelchair's brakes and learn how to engage and disengage them.
08
Practice maneuvering the wheelchair in a safe and controlled manner, using the wheels and push rims.
09
If necessary, ask for assistance in transferring from the wheelchair to other surfaces or vehicles.
10
Keep the wheelchair clean and properly maintained to ensure its longevity and functionality.
Who needs sta - manual wheelchair?
01
People who have difficulty walking or have limited mobility due to injury, illness, or disabilities may need a manual wheelchair.
02
Individuals who are temporarily or permanently unable to bear weight on their lower limbs may benefit from using a manual wheelchair.
03
People with conditions such as spinal cord injuries, muscular dystrophy, multiple sclerosis, amputations, or cerebral palsy may require a manual wheelchair for mobility.
04
Individuals recovering from surgery or those undergoing rehabilitation may also need a manual wheelchair during their recovery process.
05
Children and adults facing mobility challenges can benefit from a manual wheelchair to enhance their independence and accessibility.
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What is sta - manual wheelchair?
STA - manual wheelchair is a standardized form used to report information about manual wheelchairs.
Who is required to file sta - manual wheelchair?
Healthcare providers and medical facilities are required to file STA - manual wheelchair for their patients who use manual wheelchairs.
How to fill out sta - manual wheelchair?
The STA - manual wheelchair form can be filled out online or submitted manually with the required information about the manual wheelchair and the patient.
What is the purpose of sta - manual wheelchair?
The purpose of STA - manual wheelchair is to track and report information about manual wheelchairs in use by patients.
What information must be reported on sta - manual wheelchair?
Information such as manufacturer, model, serial number, patient's name, and prescribing healthcare provider must be reported on STA - manual wheelchair.
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