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Aadl seating clinic referral form 2026

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  1. Click ‘Get Form’ to open the aadl seating clinic referral form in the editor.
  2. Begin by entering the date and selecting M/F for gender. Fill in the client's full name, address, and personal health number.
  3. Provide contact information for the person arranging the appointment, including their name, phone number, and relationship to the client.
  4. Indicate evaluation needs by checking all applicable boxes under 'Evaluation For' and specify any additional contacts such as therapists or family members.
  5. Complete the 'Seating System' section by selecting between Manual Chair or Power Chair and indicate if this is a new request or for growth/modifications.
  6. Fill out medical status details including allergies, presenting conditions, medications, and any secondary diagnoses.
  7. In the funding section, identify who is financially responsible and provide necessary details about funding sources.
  8. Address specific seating concerns by detailing functional problems and goals identified by clients or caregivers.
  9. Finally, ensure all sections are completed thoroughly to avoid delays in assessment before submitting your form.

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Related links

View of Wheelchair Seating Assessment and Intervention

by IG Barlow 2009 Cited by 59 Referring therapists also included at a minimum the time taken to complete the referral form. seating clinic appointment with their client if travel wasRead more

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Wheelchair Seating Assessment and Intervention - PMC - NIH

by IG Barlow 2009 Cited by 59 The Seating Service at the Glenrose Rehabilitation Hospital in Edmonton is one of 12 clinics across Alberta that provides seating assessments and interventionsRead more

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