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Seating and Mobility Evaluation Form

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In order to recommend the most appropriate seating and wheeled mobility equipment for a client, it is essential that a thorough evaluation takes place. The evaluation is considered to be a multi-step process which includes aspects such as:

  • a client interview
  • establishment of goals
  • complete medical history
  • current medical status
  • review of past and current equipment
  • discussion of the environments in which the mobility device will be used (home, work, community, school, etc.)
  • transportation of the equipment
  • a MAT assessment

The Education in Motion Seating & Mobility Evaluation form is intended to serve as an example and guide as to what to include when evaluating a client for seating and wheeled mobility equipment.

Seating And Mobility Evaluation Form
Download the Seating and Mobility Evaluation Form

Published: 8/12/2020

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DISCLAIMER: FOR PROFESSIONAL USE ONLY. THIS WEBSITE (AND THE DOCUMENTS REFERENCED HEREIN) DO NOT PROVIDE MEDICAL ADVICE. Sunrise Medical (US) LLC (“Sunrise”) does not provide clinician services. The information contained on this website (and the documents referenced herein), including, but not limited to, the text, graphics, images, and descriptions, are for informational purposes only and should be utilized as a general resource for clinicians and suppliers to then use clinical reasoning skills to determine optimal seating and mobility solutions for individual patients. No material on this website (or any document referenced herein) is intended to be used as (or a substitute for) professional medical advice, diagnosis or treatment. Never disregard your professional medical training when providing medical advice or treatment because of something you have read on this website (or any document referenced herein). Clinicians should review this (and any other materials) carefully and confirm information contained herein with other sources. Reliance on this website (and the information contained herein) is solely at your own risk.