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Prior to creating a program, complete the following items:


General Information



Medical Provider Information

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Transitional Work

Frequency Abbreviation Number of Repetitions During Shift Percentage of Time
Rare to Occasional (R/O) 0-20 33%
Frequent (F) 20-100 33-66%
Constant (C) >100 66-100%
Default (--) N/A N/A
Task Lift/
Carry
(lbs.)
Stand/
Walk
Sits Drive Grip Bend Squat Climb
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