Tinetti Gait amp Balance Assessment - Life Care Therapy 2026

1. Click ‘Get Form’ to open the Tinetti Gait & Balance Assessment in the editor.
2. Begin by entering the patient's last name, first name, and middle initial in the designated fields at the top of the form.
3. Fill in the provider's name and number, along with the onset date and primary diagnosis(es) for accurate record-keeping.
4. In the 'Balance' section, assess the patient’s ability to maintain balance while seated and standing. Use the scoring system provided to document their performance.
5. Proceed to the 'Gait' section where you will evaluate gait initiation, step length, symmetry, and continuity. Record observations using the scoring criteria outlined.
6. Calculate total scores for balance and gait, then determine risk indicators based on these scores. Ensure all fields are completed before finalizing.
7. Finally, have the therapist print their name, sign, and date at the bottom of the form to validate it.

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