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Get Draft Ama Figure 16-1b 2020-2025
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How to fill out the Draft AMA Figure 16-1b online
This guide provides clear instructions on how to complete the Draft AMA Figure 16-1b form online. Following these steps will ensure you provide the necessary details accurately for the upper extremity impairment evaluation.
Follow the steps to effectively complete your form online.
- Press the ‘Get Form’ button to access the Draft AMA Figure 16-1b and view it in your editor.
- Begin by filling in your name, age, claim number, sex, date of injury, and employer information in the designated fields.
- In the 'Abnormal Motion' section, accurately record motion or ankyloses angles along with any digit impairment percentages for extension and ankylosis.
- Indicate the dominant hand by selecting either right or left based on your personal preference in the provided space.
- Complete the 'Date of Exam' and 'Diagnosis' fields while ensuring that the information is current and precise.
- Fill in the Regional Impairment % by combining the impairment percentages from the hand, wrist, elbow, and shoulder sections.
- Continue with the Amputation section, marking the level and the corresponding impairment percentages.
- For the shoulder, provide angles and impairment percentages for flexion, extension, abduction, adduction, internal rotation, and external rotation.
- Once all fields are filled out, review the form for accuracy and completeness.
- Save your changes, then download, print, or share the filled-out form as needed.
Complete your Draft AMA Figure 16-1b online today!
The injury scale value in Queensland assigns a numerical value to an injury based on its severity and the level of impairment experienced by the individual. This value influences compensation amounts and rehabilitation options. Utilizing resources such as the Draft AMA Figure 16-1b can facilitate a more accurate assessment of your injury scale value, ensuring you receive appropriate compensation.
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