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Division Guideline #25 Date:August 1, 2012 Reviewed: April 2, 2014Title:Assistive Technology Guidelines and Referral FormApplication: Community Providers, TCM Providers, Support Coordinators, and
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How to fill out referral for assistive technology
How to fill out referral for assistive technology
01
Contact the healthcare provider or specialist who is recommending the assistive technology.
02
Collect all relevant information about the individual needing the assistive technology, including their medical history and current needs.
03
Fill out the referral form with the individual's information, the type of assistive technology needed, and any other relevant details.
04
Submit the completed referral form to the appropriate department or organization that handles assistive technology services.
05
Follow up with the healthcare provider or specialist to ensure the referral is processed and the individual receives the needed assistive technology.
Who needs referral for assistive technology?
01
Individuals with physical disabilities who require assistance with mobility, communication, or daily tasks.
02
People with cognitive impairments who need support with learning, communication, or memory.
03
Patients recovering from injuries or surgeries who need temporary help with movement or mobility.
04
Elderly individuals who may benefit from aids to help with daily living activities.
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What is referral for assistive technology?
A referral for assistive technology is a formal request for the evaluation and provision of technology devices and services that aid individuals with disabilities in performing tasks.
Who is required to file referral for assistive technology?
Typically, healthcare professionals, educators, or caregivers involved with the individual needing assistance are required to file a referral for assistive technology.
How to fill out referral for assistive technology?
To fill out a referral for assistive technology, one must provide details about the individual's needs, the specific assistive technologies being referred, and any supporting documentation.
What is the purpose of referral for assistive technology?
The purpose of this referral is to connect individuals with disabilities to appropriate technology that can enhance their ability to function independently and improve their quality of life.
What information must be reported on referral for assistive technology?
The referral must report personal information about the individual, their specific needs, current levels of functioning, and the type of assistive technology being recommended.
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