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Occupational Therapist Form

Attestation du besoin d’une aide à la locomotion ou à la posture

A downloadable Occupational Therapist form for healthcare professionals.
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Specialty

Occupational Therapist

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0 times

Type

Form

Last edited

7/23/2026

Created by

Heidi Team

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About this form

Accelerate mobility aid assessments with Heidi by automatically completing the Attestation du besoin d’une aide à la locomotion ou à la posture for the Régie de l’assurance maladie du Québec (RAMQ). Designed for physicians, occupational therapists, and physiotherapists, this form supports applications for mobility and postural assistive devices under Quebec’s assistive devices program. It documents the patient’s diagnosis, permanent physical impairment, requested mobility or positioning equipment, clinical eligibility, functional limitations, mobility status, postural assessment, environmental factors, transportation needs, and comprehensive functional evaluation. The form also records recommendations for wheelchairs, seating systems, walking aids, intervention goals, and follow-up plans to ensure the prescribed equipment meets the individual’s functional needs. Heidi helps clinicians efficiently generate structured clinical documentation that supports timely equipment approvals, coordinated rehabilitation planning, and improved access to appropriate mobility and postural support.

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How to use this form

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Click "Auto-fill Form with Heidi" to open the form in Heidi and complete the fields straight from your note, no copying and pasting.

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Review and edit

Check the pre-filled details and make any changes before finalising the form.

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Download the completed form or save it directly into your patient records and workflows.

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