Get Functional Abilities Form - Bcupelocal1310bbcomb

The Functional Abilities Form is essential for health professionals to identify a person's functional abilities and work restrictions that assist in planning a safe return to work. This guide provides comprehensive, user-friendly steps to help you complete the form accurately online.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the Functional Abilities Form - Bcupelocal1310bbcomb online and open it in the editor for completion.
2. Begin with Section A, which should be filled out by the worker and/or employer. Provide the necessary personal details, including first name, last name, address, date of birth, and employment details.
3. Next, review the sections regarding the worker’s accident or illness date and ensure to answer questions related to job discussions concerning Return to Work.
4. Section B requires the worker’s signature, signifying consent for health professionals to share functional abilities information with necessary parties.
5. In Section C, have the health professional enter their billing information, ensuring not to disclose any billing details to the worker or employer.
6. Section D must be completed by the health professional, detailing the patient's abilities and restrictions based on their assessment. This includes indicating whether the patient can return to work with or without restrictions.
7. Fill out Section E by indicating the specific abilities and restrictions that apply to the worker, including any recommendations for work hours and start dates.
8. Complete Section F, which includes a date for the next appointment to review abilities and any additional comments on the patient's restrictions.
9. Lastly, once all necessary fields are completed, save your changes. You can then choose to download, print, or share the form as required.

Start your online submission of the Functional Abilities Form today.