Get Form 11-3. Identification Of Breathing Patterns - Specialed Spps

The FORM 11-3 is a critical document used for assessing breathing patterns in individuals. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to access the FORM 11-3. The form will open in your chosen editor, allowing you to begin filling it out online.
2. Begin by entering the name of the individual being assessed in the 'Name' field. It is essential to input the full name for accurate identification.
3. Next, input the age of the individual in the 'Age' field. Ensure that the age is recorded accurately to facilitate further assessment.
4. In the 'Date' field, enter the current date or the date on which the assessment is taking place. This will help keep track of the records.
5. Provide the examiner's name in the designated field. This identifies who conducted the assessment and ensures accountability.
6. Proceed to Part I of the form, where you need to identify the type of breathing exhibited by the individual. Select from the options provided: Normal, Clavicular, Diaphragmatic-thoracic, or Thoracic.
7. For Part II, rate the behaviors according to severity using the provided scale. Indicate if the difficulties are Mild (1), Moderate (2), or Severe (3).
8. In the comments or observations section on the right-hand side, provide any additional notes or insights related to the assessment.
9. Once all fields are completed, make sure to save your changes. You may then choose to download the document, print it for physical copies, or share it as needed.

Complete your documents online for convenience and efficiency.