Effects of Supervised Early Resistance Training versus 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient's name, date of birth, and member ID number in the designated fields.
3. For Activities of Daily Living (ADLs), indicate whether the patient is completely independent by selecting 'Y' or 'N'. If assistance is required, circle the types needed.
4. Complete the Cognitive Status section by marking if the patient is intact or not oriented. Indicate their ambulation status and whether they need an assistive device.
5. In the Medication Review section, confirm if a review was completed and attach a current medication list as required.
6. Fill out the Advance Care Planning section, noting if advance directives are in place and attaching any necessary documents.
7. Finally, ensure all sections are filled out completely before signing and dating at the bottom of the form.

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