Home
Forms Library
Upper Extremity Impairment Evaluation Record Part 1 (Hand) - colorado

Upper Extremity Impairment Evaluation Record Part 1 (Hand) - colorado 2025

Upper Extremity Impairment Evaluation Record Part 1 (Hand) - colorado Preview on Page 1

Show details

4 out of 5

60 votes

The document outlines a structured evaluation record for assessing upper extremity impairment, specifically focusing on the hand. It includes sections for recording patient information, diagnosis, and various types of impairments such as motion, amputation, sensory loss, and other disorders. The document provides formulas for calculating impairment percentages for individual fingers and overall hand impairment, which can then be converted to upper extremity impairment percentages using specified tables.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The fastest way to redact Upper Extremity Impairment Evaluation Record Part 1 (Hand) - colorado online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the best editor for changing your forms online. Adhere to this straightforward instruction to edit Upper Extremity Impairment Evaluation Record Part 1 (Hand) - colorado in PDF format online for free:

Register and sign in. Create a free account, set a secure password, and go through email verification to start working on your templates.
Upload a document. Click on New Document and choose the form importing option: add Upper Extremity Impairment Evaluation Record Part 1 (Hand) - colorado from your device, the cloud, or a secure URL.
Make adjustments to the template. Use the upper and left panel tools to edit Upper Extremity Impairment Evaluation Record Part 1 (Hand) - colorado. Add and customize text, pictures, and fillable fields, whiteout unneeded details, highlight the important ones, and comment on your updates.
Get your paperwork done. Send the sample to other individuals via email, generate a link for faster file sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail added.

Explore all the advantages of our editor today!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much is the impairment rating payout?

In general, insurance companies calculate impairment rating payouts by multiplying the impairment rating by a certain allowed amount. This means that a higher impairment rating equals a higher impairment rating payout. This amount can vary from state to state.

What does 21% impairment mean?

What are some examples of impairment ratings? Injury/ ProcedureApproximate Impairment Rating A fusion of the lumbar spine 21% A joint replacement to the shoulder, hip or knee 21% Amputation of the thumb 22% Loss of eyesight in one eye 32%4 more rows

What does 3% impairment mean?

Three percent is your permanent impairment rating, which means that is your loss of function.

What is upper extremity impairment?

Common upper extremity (UE) impairments after stroke include paresis, loss of fractionated movement, abnormal muscle tone, and/or changes in somatosensation.

What does a 20% impairment rating mean?

Victims with a 20% impairment rating are only entitled to 20% of the 360 weeks of benefits awarded to people with permanent partial disability. Still, impairment is an ongoing problem that will prevent the worker from using the damaged body part as they did before.

What is an impairment rating in Colorado?

An impairment rating reflects the permanent effects of a workplace injury after you have reached maximum medical improvement (MMI). MMI is the point at which your condition has stabilized, and further medical treatment is unlikely to improve your condition.

Upper Extremity Impairment Evaluation Record Part 1 (Hand) - colorado 2025

Here's how it works