Dshs physical functional evaluation 2026

1. Click ‘Get Form’ to open the dshs physical functional evaluation in the editor.
2. Begin by filling out the Client Information section. Enter the client's name, birth date, and identification number accurately.
3. In the Authorization to Release Information section, specify the examining professional’s name and ensure that the client signs and dates this authorization.
4. Proceed to the Subjective section. Document chief complaints, reported symptoms, and any treatment history including hospitalizations.
5. In the Objective section, attach relevant chart notes and describe any non-exertional limitations or workplace restrictions.
6. For the Assessment section, list each diagnosis along with its severity rating based on your professional opinion.
7. Complete the Plan section by listing any additional tests needed and recommended treatments before finalizing your report.

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