This form supports the evaluation of long-term physical and psychological impairments under the Société de l’assurance automobile du Québec (SAAQ). It captures details of stabilised injuries, clinical examination findings, ongoing treatments, permanent functional limitations, orthotic requirements, and aesthetic or skin sensitivity impairments, where applicable. The report also records additional clinical observations required to determine whether the individual’s impairments require a medico-legal assessment, while the accompanying receipt or invoice documents professional fees for preparing the report. Heidi helps clinicians record persistent injuries and functional impairments in a structured way, supporting clear documentation and coordinated care.
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