Get Bfunctionalb Abilities Bformb Faf - Work Connections - University Of Bb - Workconnections Umich

The Functional Abilities Form (FAF) is an essential document designed to facilitate a safe return to work for individuals. This guide will provide a clear, step-by-step overview of how to fill out the form accurately and effectively online.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date of birth and full name of the patient at the specified fields.
3. Provide the social security number in the designated section for identification purposes.
4. In the Recommendations for Return to Work section, indicate whether the discussion about returning to work has taken place with the patient and provide explanations as necessary.
5. Assess if the patient requires assistance or retraining to prepare for their full duties and document the response.
6. Outline recommendations for the patient's work hours and start date, specifying regular or modified hours as well as any graduated hours if applicable.
7. Note the recommended date for the next appointment to review the patient's abilities and/or restrictions.
8. Proceed to fill out the Abilities and Limitations section, selecting appropriate options regarding physical capabilities such as walking, lifting, standing, sitting, and so forth.
9. In the Cognitive Limitations section, select any relevant limitations such as memory or concentration issues.
10. Add any additional comments regarding the patient's abilities and limitations in Section C.
11. Specify the expiration date of the noted abilities and limitations from the date of assessment.
12. Complete the Physician’s Information section by entering your name, signature, date, email, degree/specialty, address, phone, and fax information.
13. After confirming all entries are correct, save changes, download a copy, print, or share the completed form as needed.

Take the next step by completing the Functional Abilities Form online today.