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A Matter of Balance (MOB) Registration Form Workshop Sponsored by Aging & Long Term Care of Eastern Washington (ALICE) No Cost to the Participant Please complete registration below and return to ALICE

How to fill out falls prevention mob registration

Steps to fill out falls prevention mob registration:

1. Visit the official website of the falls prevention mob registration program.
2. Look for the registration form or link provided on the website.
3. Click on the registration form or link to access the registration page.
4. Fill in your personal details such as name, address, contact information, and date of birth.
5. Provide any necessary medical information related to falls prevention, if required.
6. Answer any additional questions or queries asked on the registration form.
7. Double-check all the information filled in the form for accuracy and completeness.
8. Submit the filled-out form by clicking on the submit button or following the provided instructions.
9. Wait for a confirmation message or email indicating that your registration has been successfully submitted.
10. If required, follow any further instructions provided by the falls prevention mob registration program.

Who needs falls prevention mob registration:

1. Individuals who have identified themselves as being at risk of falls or have a history of falls.
2. Older adults who want to proactively prevent falls and improve their balance and strength.
3. Physical therapists, doctors, or other healthcare professionals who want to recommend or refer their patients for falls prevention programs.
4. Caregivers or family members of individuals at risk of falls, who want to ensure their loved ones receive appropriate care and support.

Please note that the specific requirements and eligibility criteria for falls prevention mob registration may vary depending on the program or organization providing the service. It is recommended to consult the relevant program's guidelines or contact them directly for accurate and up-to-date information.

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What is falls prevention mob registration?

Falls prevention mob registration is a process to register organizations that provide programs and services aimed at preventing falls in older adults.

Who is required to file falls prevention mob registration?

Organizations that provide falls prevention programs and services are required to file falls prevention mob registration.

How to fill out falls prevention mob registration?

To fill out falls prevention mob registration, organizations need to provide information about their programs, services, staff, and other relevant details.

What is the purpose of falls prevention mob registration?

The purpose of falls prevention mob registration is to create a database of organizations offering falls prevention programs and services for better coordination and promotion of fall prevention initiatives.

What information must be reported on falls prevention mob registration?

Information such as organization name, contact details, program descriptions, staff qualifications, and target population must be reported on falls prevention mob registration.