Get Lower Extremity Functional Scale Military Form

The Lower Extremity Functional Scale Military Form is designed to help assess a person’s ability to perform daily activities affected by lower limb problems. This guide will walk you through each section of the form, ensuring that you complete it accurately and effectively.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in your name in the designated field at the top of the form. This identifies you as the respondent.
3. Next, enter the current date in the specified area. Accuracy is important for tracking progress over time.
4. In the 'Primary Therapist' field, write the name of the therapist who is overseeing your care. This allows for a point of contact for the evaluation.
5. You will now be presented with a list of activities. For each activity, reflect on your current abilities and indicate the level of difficulty you experience. Use the scale provided, where '0' indicates no difficulty and '4' signifies extreme difficulty.
6. After selecting your options for all activities, ensure that you total the scores in the appropriate column. This total will indicate your overall functional status.
7. Lastly, review all filled sections to confirm accuracy before you finalize the form. Once you are satisfied with your entries, proceed to save changes. You can choose to download, print, or share your completed form as needed.

Complete the Lower Extremity Functional Scale Military Form online today for a clearer understanding of your functional abilities.