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Prescribing a Home Modification - by Type
Access
Access and Mobility Reference Charts AS1428.1 (MS Word Document 77.4 KB)- Circulation Spaces at Doorways Appendix C AS1428 1 2001 (MS Word Document 417.7 KB)
- Circulation Spaces at Doorways Fig 1 AS1428 1 2009 (MS Word Document 371.2 KB)
- Electronic Door Opener Specification and Agreement Form (MS Word Document 841.1 KB)
- Home Modification Specification Form Internal Access Doorway Widening (MS Word Document 121.0 KB)
- Minor Access Home Modification Specification Form (MS Word Document 163.0 KB)
- Minor Home Modification Blank Specification Form (MS Word Document 90.0 KB)
- Specific Eligibility Criteria Major Access Modifications (MS Word Document 82.0 KB)
Bathroom
- Applying a Plastic Sheet Over Electrical Outlets Fact Sheet (MS Word Document 154.0 KB)
- Bathroom Clinical Considerations for Prescribers (MS Word Document 162.5 KB)
- Bathroom Electrical Safety Clinical Considerations for Prescribers (MS Word Document 300.0 KB)
- Bathroom Electrical Safety Training Resource Kit (MS Word Document 1.5 MB)
- Bidet Specification and Agreement Form (MS Word Document 375.0 KB)
- Home Modification Specification Form Bathroom / Toilet (MS Word Document 144.0 KB)
- Major Bathroom Modification Assessment Form (MS Word Document 157.5 KB)
- Shower Hoses Clinical Considerations for Prescribers (MS Word Document 135.0 KB)
- Shower Platform Specification Form (MS Word Document 94.0 KB)
- Specific Eligibility Criteria Major Bathroom Modifications (MS Word Document 88.5 KB)
- Toilet Measurements Template (MS Word Document 95.0 KB)
- Toilet Template Front View (MS Word Document 85.5 KB)
Kitchen
- Home Modification Specification Form Kitchen (MS Word Document 124.5 KB)
- Kitchen Clinical Considerations for Prescribers (MS Word Document 148.5 KB)
- Major Kitchen Modification Assessment Form (MS Word Document 126.5 KB)
- Specific Eligibility Criteria Major Kitchen Modifications (MS Word Document 60.3 KB)
Rails
- Bath Grab Rail Template Left Side (MS Word Document 215.5 KB)
- Bath Grab Rail Template Right Side (MS Word Document 182.5 KB)
- Grab Rails Clinical Considerations for Prescribers (MS Word Document 148.5 KB)
- Shower Grab Rail Template (MS Word Document 80.5 KB)
- Toilet Rail Template Left Side (MS Word Document 77.5 KB)
- Toilet Rail Template Right Side (MS Word Document 78.0 KB)
Ramps
- Home Modification Specification Form Long Ramp (MS Word Document 149.5 KB)
- Ramps Clinical Considerations for Prescribers (MS Word Document 156.0 KB)
- Specific Eligibility Criteria Long Ramps (MS Word Document 88.5 KB)
Step Modifications
- Home Modification Specification Form Major Step (MS Word Document 118.0 KB)
- Specific Eligibility Criteria Major Step Modifications (MS Word Document 86.5 KB)
- Steps Clinical Considerations for Prescribers (MS Word Document 146.5 KB)
Last updated:01 Nov 2023 9:03pm
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