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Assistive Device Request401 Strickland Street, Whitehorse, Yukon, Y1A 5N8, Telephone: (867) 6675645, Toll free: 18006610443, Fax: (867) 6678740, Website: www.wcb.yk.caA. Worker Information NameDate

How to fill out assistive device requestcdr

How to fill out assistive device requestcdr

1. Begin by obtaining the assistive device request form (CDR) from your healthcare provider or relevant authority.
2. Fill in your personal information such as name, address, and contact details.
3. Provide details about your medical condition and the reasons for needing the assistive device.
4. Specify the type of assistive device you are requesting.
5. Include any supporting documents or medical records that validate your need for the device.
6. Review the completed form for accuracy and completeness.
7. Submit the form to the designated authority or your healthcare provider.

Who needs assistive device requestcdr?

1. Individuals with physical disabilities that affect mobility.
2. People with sensory impairments, such as hearing or vision loss.
3. Patients recovering from surgeries or acute injuries requiring temporary assistive devices.
4. Seniors who need support due to age-related health issues.
5. Children with developmental or physical challenges.

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What is assistive device requestcdr?

The assistive device requestcdr is a formal document used to request funding or reimbursement for assistive devices that aid individuals with disabilities.

Who is required to file assistive device requestcdr?

Individuals with disabilities seeking funding for assistive devices, healthcare providers, or organizations supporting these individuals are required to file the assistive device requestcdr.

How to fill out assistive device requestcdr?

To fill out the assistive device requestcdr, applicants must provide personal information, details about the assistive device, medical necessity documentation, and any required signatures.

What is the purpose of assistive device requestcdr?

The purpose of the assistive device requestcdr is to ensure that individuals with disabilities can access necessary devices and funding support to enhance their quality of life.

What information must be reported on assistive device requestcdr?

Information required includes the applicant's personal details, the type of assistive device needed, the justification for its necessity, medical documentation, and insurance details if applicable.