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How do you approach handling the many-page disability paperwork of neurological disease such as Parkinson's disease?

Do you charge for it? Do you bring them in to complete the paperwork? Or do you send them to PT for Functional Capacity Evaluation?
2 Answers
Mednet MemberInvited Expert
Neurology · The Cleveland Clinic Foundation
Answered on

It can be daunting when one is handed a long form to fill out for disability in advanced PD patients. Admittedly, it is not my favorite thing to do but it will make all the difference in the life of the patient, so it is extremely important to handle it carefully. In the past, I used to have them return for an appointment where I would fill this form with them. Now, I have more staff support and I can ask my support staff to fill up the paperwork. Then I go over it and sign it. If the patient has questions about what specific actions they can and cannot do at work, I direct them to either PT or physical medicine and rehab to help with this. I am open to learning how other colleagues handle this important part of our duty.

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Mednet Member
Neurology · University of Colorado, Climate & Health Dept
Answered on

If the paperwork is simply long and doesn't ask any specific questions about weights etc, I'll do it in the clinic with the patient there while I chat with them as part of the visit and bill based on time. This way the patient can review the paperwork before taking it home with them.

If it asks a lot of very specific questions about weights and maneuvers, I send the patient to PT to do the specific tasks and have the patient and/or family fill out the paperwork themselves during/shortly after the PT session then send it to me for review and signature. I don't have the time or equipment to do all the maneuvers the paperwork asks for. Additionally, some questions are about the duration of disability and specific things the patient/family may ...

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