Get Mobility Exam Packet - Hoveround

This guide provides comprehensive instructions on how to complete the Mobility Exam Packet for Hoveround online. Follow each step carefully to ensure that all requirements are met, making the process straightforward and effective.

Follow the steps to complete the Mobility Exam Packet efficiently.

1. Click ‘Get Form’ button to access the Mobility Exam Packet and open it in your editor.
2. Begin by filling in the patient information section, including the last name, first name, and date of birth. Make sure all details are accurate to avoid any issues later.
3. Discuss with the physician the major reason for the visit, emphasizing that it must be documented as a Mobility Examination. Ensure that this is clearly recorded in the patient chart note.
4. Document any significant changes that now require the use of a power mobility device (PMD), as this information is essential for the physician's notes.
5. Complete the physical assessment section, which includes height and weight measurements, and evaluations of edema and ability to shift weight, among other aspects.
6. Ensure the cardiopulmonary and musculoskeletal examinations include O2 saturation and strength assessments for both upper and lower body extremities.
7. Document the medical conditions or symptoms that affect mobility and include specific instructions about limitations in mobility-related activities of daily living (MRADLs) within the home.
8. Clarify why alternative mobility aids like canes, walkers, or manual wheelchairs do not meet the patient's needs, making sure to provide quantitative evidence.
9. State the patient's physical and mental abilities to operate a PMD, affirming their willingness to use the device.
10. After all information is filled out, review the entire document for accuracy and completeness. Save your changes or decide to download, print, or share the completed form as necessary.

Complete the Mobility Exam Packet online to ensure a smooth process for obtaining your power mobility device.