Aspentherapyservices imagesuploadsPower Wheelchair Driving Safety Assessment - Aspen Therapy 2026

1. Click ‘Get Form’ to open the Power Wheelchair Driving Safety Assessment in the editor.
2. Begin by entering the patient's name and the assessor's name along with the date at the top of the form.
3. Select the appropriate options for assessment type, device ownership, and type of controls used by checking the relevant boxes.
4. Fill in details regarding previous wheelchair usage, including years of use and prior environments.
5. Indicate the reason for assessment by checking all applicable boxes that describe the resident's situation.
6. Assess cognitive status by selecting tests performed and noting any concerns related to driving ability.
7. Evaluate driving skills using the provided task scale, marking each skill according to observed performance.
8. Complete sections on safety observations, comments, and necessary equipment checks before signing and dating at the bottom.

Start using our platform today to easily complete your Power Wheelchair Driving Safety Assessment for free!