Living Abled™ Forms
Define our goals for your body, mind and spirit, and when we are going to achieve these goals.
Complete this comprehensive history form prior to seeing a health care provider for the first time or for a significant problem. This will help health care providers in understanding our problems and our medical history.
Complete this so others know where your pain is located and what it feels like.
Complete this one-page checklist of basic and instrumental activities of daily living to convey concisely how we are doing. Provide this at our first visit to those involved in our care and, if there is a change in our status, at subsequent visits.
Complete these 25 questions to convey the challenges we face and how they impact our daily life. Provide this during our first visit with care providers and others we are seeing.
Complete this daily to reflect upon what occurred during the day. This includes: summary of day; pain, functional and stress levels; journal entry; positives for the day; health checklist; gratitude; and plans for tomorrow.
Use this checklist to help determine the most appropriate health care provider.
Use this agreement to clearly define the relationship we want with our doctors — it defines our mutual responsibilities.
Use this checklist to prepare for a doctor visit, and during the visit, to achieve better outcomes.
Complete this form prior to every doctor visit, and during each visit, to ensure our questions are answered and we achieve the best benefit from that visit.
Use this agreement to define the relationship we want with anyone involved in our care, including health care professionals, case managers, family, claims professionals, attorneys and employers.