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Get Mobility Assessment Form - Kiwanis Transit

Permanent: wherein the applicant s mobility is not expected to improve I have fully assessed the mobility restrictions of (applicant s name) as they relate to the Kiwanis Transit Eligibility Criteria and can affirm that the applicant: has a physical challenge has a temporary mobility impairment, such as a broken leg has a cognitive challenge Please check with professional designation pertains to you: Physician Registered Nurse.

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