Aadl seating clinic referral form 2025

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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