Get SSA HA-1151-BK 2009-2021
Ate how often the individual can perform the following activites: Right Hand ACTIVITY Never Occasionally (up to 1/3) Left Hand Frequently (1/3 to 2/3) Continuously (over 2/3) Never Occasionally (up to 1/3) Frequently (1/3 to 2/3) Continuously (over 2/3) REACHING (Overhead) REACHING (All Other) HANDLING FINGERING FEELING PUSH/PULL Which is the individual's dominant hand? Right Hand Left Hand Identify the particular medical or clinical findings (i.e., physical exam findings, x-ray fi.
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