Wheelchair Initial Evaluation Form - Utah

Wheelchair Initial Evaluation Form is a legal document that was released by the Utah Department of Health and Human Services - a government authority operating within Utah.

FAQ

Q: What is the Wheelchair Initial Evaluation Form?
A: The Wheelchair Initial Evaluation Form is a document used in Utah to assess the needs of individuals requiring a wheelchair.

Q: Who uses the Wheelchair Initial Evaluation Form?
A: The form is used by healthcare professionals, such as occupational therapists and physical therapists, to assess individuals who need a wheelchair.

Q: What is the purpose of the Wheelchair Initial Evaluation Form?
A: The purpose of the form is to gather information about the individual's mobility needs, physical abilities, and lifestyle to determine the most appropriate wheelchair for them.

Q: What information is collected on the Wheelchair Initial Evaluation Form?
A: The form collects information about the individual's medical history, current mobility status, functional abilities, and personal goals.

Q: Can I fill out the Wheelchair Initial Evaluation Form myself?
A: No, the form should be completed by a healthcare professional who is qualified to assess wheelchair needs.