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Get Form Wheelchair Printable 2017-2024

Skin breakdown present Yes No Description/Comments PMH of pressure ulcer Yes No Description/Comments Other risk factors Check all that apply bony prominences impaired nutritional status impaired circulation fecal incontinence urinary incontinence smoking Yes No Bowel Function Continent Incontinent Accidents - How Managed.

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How to fill out and sign 384 wheelchair search online?

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