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The manual specifically states that ROM assessment
does NOT need to be done by a physical therapist. Page 3-107 "This is a
screening item used to determine the need for a more intensive evaluation.
It does not need to be perfromed by a physical therapist. Rather, it can
be administered by a member of any clinical discipline in accordance with these
instructions."
I don't think that any specific form is
required. We just use the MDS form to record answers when completing the
ROM assessment (done by our nurses).
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