Form 2367A Patient-Specific Functional Scale - Ontario, Canada

Form 2367A, the Patient-Specific Functional Scale, is a tool used in Ontario, Canada, to assess and measure a patient's functional abilities in their daily activities. It helps healthcare professionals in determining an individual's level of functioning before and after receiving treatment or intervention. By completing this form, patients can provide specific information about the activities that are important to them and how their health condition affects their ability to perform these activities. This scale assists in developing personalized treatment plans and monitoring progress over time.

The Form 2367A Patient-Specific Functional Scale in Ontario, Canada is typically completed and filed by healthcare professionals or practitioners who are responsible for assessing a patient's functional abilities and progress in rehabilitation or therapy.

FAQ

Q: What is Form 2367A?
A: Form 2367A is the Patient-Specific Functional Scale.

Q: What is the Patient-Specific Functional Scale?
A: The Patient-Specific Functional Scale is a tool used to assess a patient's functional abilities and determine their level of improvement over time.

Q: Who uses Form 2367A?
A: Form 2367A is used by healthcare professionals in Ontario, Canada.

Q: What is the purpose of Form 2367A?
A: The purpose of Form 2367A is to track and evaluate a patient's functional progress and outcomes.

Q: How does Form 2367A work?
A: Form 2367A asks the patient to describe their functional goals and rate their ability to perform specific activities on a scale of 0-10. It is completed at the initial assessment and at subsequent follow-up visits.

Q: Is Form 2367A specific to Ontario, Canada?
A: Yes, Form 2367A is specific to Ontario, Canada. It may not be used in other regions or countries.

Q: Can patients fill out Form 2367A on their own?
A: No, Form 2367A is typically completed by healthcare professionals based on their evaluation and discussion with the patient.