Get Fim Score Sheet

The FIM Score Sheet is a crucial tool for assessing functional independence in individuals with brain injuries. This guide will provide you with clear, step-by-step instructions to complete the form online, ensuring you capture all necessary information accurately.

Follow the steps to fill out the FIM Score Sheet successfully.

1. Click the ‘Get Form’ button to obtain the FIM Score Sheet and access it within your preferred online editor.
2. Begin by filling in the required information at the top of the sheet, including your name, date of assessment, hospital/unit, and method of administration.
3. Input the date of birth and date of motor accident, ensuring accuracy for proper assessment.
4. Indicate whether the score is due to brain injury by selecting 'Yes' or 'No' in the designated area.
5. For each category under SELF CARE, such as Eating, Grooming, and Bathing, select 'Yes' or 'No' based on the individual's capability and provide explanations for the scores in the space provided.
6. Continue to the SPHINCTER CONTROL section. Similarly, select 'Yes' or 'No' for Toileting, Bladder management, and Bowel management while explaining your scores.
7. Proceed to the TRANSFERS section. Indicate whether the individual can complete transfers between bed/chair/wheelchair, toilet, and bath/shower, providing adequate explanations.
8. In the LOCOMOTION section, record the individual’s ability to walk or use a wheelchair, and complete the same for stairs. Provide explanations based on observations.
9. Continue to the COMMUNICATION section, where you will assess comprehension and expression. Select the appropriate modes as necessary and explain the scores.
10. Fill out the SOCIAL COGNITION section by evaluating social interaction, problem-solving, and memory capabilities, selecting 'Yes' or 'No' and justifying your choices.
11. Calculate the FIM total score and document the administrator's name and signature in the respective fields along with FIM credentialed status and date of assessment.
12. Once all sections are completed, save your changes. You can then download, print, or share the completed FIM Score Sheet.

Start filling out the FIM Score Sheet online to facilitate accurate assessments.