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Click ‘Get Form’ to open the functional ability evaluation form 2008 in the editor.
Begin by filling out the top portion of the form with your personal information, including your last name, first name, date of birth, and address. Ensure you use black ink for clarity.
In the health section, report any medical conditions that may affect your driving abilities. Be thorough and include details about medications and any relevant health history.
Sign the authorization section to allow healthcare professionals to disclose necessary health information. Remember, this signature is crucial for processing your application.
Next, have a healthcare professional complete the functional ability profile. They will assess various categories such as cardiovascular health and neurological conditions by marking appropriate levels.
Finally, ensure all sections are completed before submitting the form. Review it for accuracy and completeness using our platform’s editing tools.

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Who can perform a functional assessment?

Functional abilities evaluations are often performed by healthcare professionals such as registered physiotherapists, occupational therapists, kinesiologists, psychotherapists, psychologists, or psychiatrists.

Who performs FCEs?

FCEs are typically performed by trained healthcare professionals, such as occupational therapists, physical therapists, or ergonomists and include: Interview: The evaluator gathers information about the individuals medical history, work history, and current functional status.

Why did I get a functional ability evaluation medical report?

A functional capacity evaluation (FCE) is a standard assessment that measures your physical abilities in relation to your typical job tasks to evaluate if and when you can resume working. Here, we explain why FCEs are ordered and what to expect from your own evaluation.

What does an FCE test consist of?

The cost of a functional capacity evaluation can vary depending on various factors. If your doctor refers you for the evaluation, your insurance may cover the cost. However, if insurance coverage is not an option, you may need to pay out-of-pocket for the assessment.

Who can perform functional capacity evaluations?

The FCE is a 6-to-8-hour evaluation that is administered over two days by an occupational therapist or physical therapist. Work simulations are included in the FCE when the goal of the evaluation is to determine if a patient can safely perform the job duties of a specific job.