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SideDR DL I Upper Figure - PSI Services LLC 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your personal information in the designated fields, including Name, Age, Sex, and Occupation. Ensure accuracy as this data is crucial for evaluation.
- Proceed to the Diagnosis section. Here, you will need to indicate any abnormal motion or sensory loss related to the upper extremity. Use the provided checkboxes for clarity.
- In the Motion section, record specific measurements such as Flexion and Extension angles. Mark any ankylosis present and calculate impairment percentages based on your findings.
- Continue through each section methodically, combining digit impairments and calculating total upper extremity impairment as instructed. Utilize tables referenced in the document for accurate conversions.
- Finally, review all entries for completeness before saving or exporting your completed form.
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