Microprocessor knee patient evaluation protocol 2026

1. Click ‘Get Form’ to open the microprocessor knee patient evaluation protocol in the editor.
2. Begin by filling out the Practitioner Information section at the top of Page 2. Enter your professional contact details accurately.
3. Next, have the patient complete their personal and medical history in the Patient Information section. Ensure all fields are filled out, including social security number and date of birth.
4. On Page 3, guide the patient to assess their current prosthesis in the Prosthetics Activity & Comfort Assessment section. If they are a new amputee without a prosthesis, instruct them to mark 'NA'.
5. Proceed to Page 4 for the Functional and Gait Evaluation. This should be completed by you as the practitioner, noting any gait deviations observed during assessment.
6. Continue through Pages 5 to 8, completing evaluations on prosthetic components, recommendations, activities of daily living justification, and functional requirements verification as necessary.

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