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  • Cshcn Service Program Wheelchair Seating Evaluation Form Pdf

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Is available on the TMHP website at www.tmhp.com. Complete all sections of this form. Print or type all information. Contact the TMHP-CSHCN Services Program Contact Center at 1-512-514-3000, option 2, or 1-800-568-2413, Monday through Friday, from 7 a.m. to 7 p.m., Central Time, for assistance with this form. This form may be submitted by mail to the following address: TMHP-CSHCN Services Program Authorization Department 12357-B Riata Trace Parkway Ste #100 MC-A11 Austin, TX 7872.

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Wheelchair Evaluation Seat width, depth, and height. Patient hip, trunk, and shoulder widths. Patient shoulder and axillae heights. WC Leg length, arm height, back height. WC width, height, and size. Knee-to-seat depth. Knee-to-heel length. Seat-to-back support angle.

What can I expect during the wheelchair evaluation? The evaluation will take approximately 2 hours. The physical or occupational therapist will be present at the time of the evaluation, along with a representative from a wheelchair company to assist in identifying the most appropriate equipment for you.

Typically the clinician is an Occupational Therapist (OT) or Physical Therapist (PT), so the prescription from your doctor will read, "OT or PT Wheelchair Evaluation." Getting a prescription from your doctor is essential, because it allows a therapist (OT or PT) to conduct an evaluation.

In most cases the physical assessment will also include a full musculoskeletal examination of the users range of motion, joint flexibility, muscle length, and skeletal alignment, with neurological issues such as tone and spasm pattern also noted as they affect posture and muscle length.

To assess the seated position effectively, you must: Ensure the seat depth matches the person's leg length correctly. Are the hips level? Ensure the seat or footplate height is set for correct loading of the legs and feet. Make sure the seat cushion is given maximum pressure management.

Here are the key components of a mat exam that we need to include. Muscle Tone. Muscle Strength. Range of Motion. Reflexes. Movement patterns. Postural Control.

The MAT assessment was designed to make sure that all child/family needs are assessed when a child/youth enters foster care. This assessment is meant to help a family meet some special needs a child or children may have that place this family in danger of a lengthy separation.

Here are the key components of a mat exam that we need to include. Muscle Tone. Muscle Strength. Range of Motion. Reflexes. Movement patterns. Postural Control.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232