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HRS 2016 SECTION G: FUNCTIONAL LIMITATIONS AND HELPERS FINAL VERSION 8/15/2016 ****************************************************************** NOTE ABOUT BRANCHPOINTS: WHERE THERE IS MORE THAN
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How to fill out functional limitations worksheet

01
To fill out a functional limitations worksheet, follow these steps:
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Start by gathering all the necessary information about the individual's functional limitations. This may include medical records, assessments, and reports from healthcare professionals.
03
Create a table or spreadsheet to organize the information. The table should include columns for each functional area, such as mobility, communication, self-care, etc.
04
For each functional area, identify the specific limitations the individual may have. This could be difficulty walking long distances, speech impairments, or problems with showering or dressing.
05
Assess the severity of each limitation. You can use a scale or rating system to indicate the level of impairment or disability.
06
Include any additional notes or comments about each limitation. This can provide more context or details for future reference.
07
Review and revise the worksheet as needed. It's important to regularly update the functional limitations worksheet to reflect any changes or improvements in the individual's abilities.
08
Share the completed worksheet with healthcare professionals, caregivers, or anyone involved in the individual's care. This can help them better understand the individual's needs and provide appropriate support.
09
Remember to always respect the individual's privacy and confidentiality when filling out the functional limitations worksheet.

Who needs functional limitations worksheet?

01
Functional limitations worksheets are useful for a variety of individuals, including:
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- People with disabilities or chronic illnesses
03
- Healthcare professionals
04
- Caregivers and family members
05
- Social workers and case managers
06
- Vocational rehabilitation specialists
07
- Insurance companies or government agencies handling disability claims
08
Anyone involved in the assessment, planning, or provision of support services for individuals with functional limitations can benefit from using a functional limitations worksheet.
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A functional limitations worksheet is a document used to assess and document the degree of functional limitations an individual may have as a result of a medical condition or disability.
Individuals with disabilities or medical conditions that affect their daily functioning, and who are seeking certain benefits or accommodations, are typically required to file a functional limitations worksheet.
To fill out a functional limitations worksheet, individuals should accurately describe their limitations in various areas such as mobility, self-care, and communication, providing specific examples and necessary documentation of their condition.
The purpose of the functional limitations worksheet is to provide a clear and detailed account of an individual's functional abilities and limitations, which may be used to support applications for benefits, services, or accommodations.
The worksheet typically requires information about the individual's diagnosis, specific functional limitations, the impact of these limitations on daily activities, and any supporting medical documentation.
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