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Get the free FES Initial Assessment Checklist - University of Alberta

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FES Initial Assessment ChecklistName: ___ Date: ___ FES Physician Referral Get Active Questionnaire (GAS) Physician Physical Activity Readiness Clearance (if necessary) FES Informed Consent FES Program
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How to fill out fes initial assessment checklist

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How to fill out fes initial assessment checklist

01
Obtain a copy of the FES Initial Assessment Checklist form.
02
Begin by filling out the client's personal information at the top of the form.
03
Go through each section of the checklist and mark the appropriate boxes to indicate the client's level of function in each area.
04
Make sure to provide details and examples where necessary to support your ratings.
05
Review the completed checklist for accuracy and completeness before submitting it for further evaluation.

Who needs fes initial assessment checklist?

01
Physical therapists
02
Occupational therapists
03
Rehabilitation professionals
04
Patients undergoing Functional Electrical Stimulation (FES) therapy
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The fes initial assessment checklist is a document used to assess the initial fire emergency system of a building or facility.
Building owners, facility managers, or designated responsible parties are required to file the fes initial assessment checklist.
The fes initial assessment checklist should be completed by providing accurate information about the fire emergency system in the building or facility.
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