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WHEELCHAIR CUSHION ASSESSMENT FORM DSC035 Pressure relieving cushions will not be provided: For use in armchairs or any other form of seating For use in a transit wheelchair which is used as an alternative
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How to fill out wheelchair cushion fact sheet

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How to fill out wheelchair cushion fact sheet

01
Gather necessary information about the wheelchair user such as weight, height, and any medical conditions that impact seating needs.
02
Measure the wheelchair seat width and depth to ensure the cushion will fit properly.
03
Determine the type of cushion needed based on the individual's pressure relief and positioning needs.
04
Complete the fact sheet by accurately documenting all relevant information and preferences of the wheelchair user.
05
Review the filled out fact sheet with the healthcare provider or therapist to ensure it meets the user's specific needs.

Who needs wheelchair cushion fact sheet?

01
Individuals who use wheelchairs or mobility devices for daily activities.
02
Healthcare providers and therapists who prescribe and recommend wheelchair cushions for their patients.
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Wheelchair cushion fact sheet is a document that provides information about the wheelchair cushion used by an individual.
Individuals who use a wheelchair cushion are required to file the wheelchair cushion fact sheet.
To fill out the wheelchair cushion fact sheet, individuals must provide information about the type of wheelchair cushion they use and any relevant details about its usage.
The purpose of the wheelchair cushion fact sheet is to ensure that individuals using wheelchair cushions are receiving the appropriate support and benefits.
The wheelchair cushion fact sheet must include details about the type of wheelchair cushion being used, the individual's medical condition requiring the use of the cushion, and any adjustments or modifications made to the cushion.
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