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Get NC DHHS DMA-3000

Ist 3.Two+ persons assist and/or one person assist w/assistive equipment other ______________________ Moving to and between surfaces: bed, chair, wheelchair, standing position. Note assistive equipment patient is to use during transfer: Manual wheelchair Electric wheelchair Hoyer lift Transfer Board Trapeze Bar other ____________ Note self sufficiency once transferred __________________________________________________________ Check assistance needed with taking in food by any method. Oral Pare.

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