Walker evaluation 2026

1. Click ‘Get Form’ to open the walker evaluation in the editor.
2. Begin by entering the client's information, including their name, Medicaid number, age, height, and weight. This foundational data is crucial for tailoring the gait trainer/walker to the client's needs.
3. Fill out the functional assessment fields such as tone, cognition, head control, trunk control, and upper/lower extremities. Use the provided scales (e.g., Good, Fair, Poor) to accurately describe the client’s abilities.
4. Indicate whether the client is expected to ambulate independently or with assistance. Provide details on frequency and duration of gait training at home.
5. Outline anticipated benefits from using the gait trainer/walker and any expected changes in equipment needs over time.
6. Finally, ensure that a home assessment is completed to confirm that the requested equipment can be safely accommodated. Don’t forget to sign and date the form before submission.

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