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In order to evaluate disability, one must measure functional limitations in terms of a particular role WorkWells Functional Capacity Evaluation (FCE) is a comprehensive functional test designed to
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How to fill out functional capacity evaluation form

01
Gather all necessary information such as medical history, job tasks, and any relevant test results.
02
Review the form and make sure you understand each section and what is being asked.
03
Fill out each section accurately and honestly, providing detailed information where necessary.
04
If you are unsure about how to answer a question, consult with a healthcare professional or the evaluator administering the test.
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Double check your answers before submitting the form to ensure accuracy.

Who needs functional capacity evaluation form?

01
Individuals who have experienced an injury or illness that has impacted their ability to perform job tasks.
02
Employers who want to assess the functional abilities of employees returning to work after an injury or illness.
03
Healthcare professionals conducting assessments for disability determination or treatment planning.
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A functional capacity evaluation form is a standardized assessment tool used to determine an individual's ability to perform work-related tasks and physical activities.
Typically, individuals seeking disability benefits, employers evaluating employee capabilities, and medical professionals conducting assessments are required to file a functional capacity evaluation form.
To fill out a functional capacity evaluation form, individuals should provide detailed information about their medical history, current physical capabilities, and any limitations they experience in performing daily activities or job functions.
The purpose of the functional capacity evaluation form is to objectively assess an individual's physical and functional abilities to inform decisions regarding employment, rehabilitation, and benefits.
The form typically requires information such as personal identification, medical history, specific job requirements, current physical abilities, and any relevant limitations.
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