Functional Independence Assessment: Attendant Care and Allied Health Service Recommendations form (for Provider use only)


For occupational therapists – in consultation with other treating therapists and the Early Support Coordinator, complete this form in preparation for a client’s discharge from hospital.  To ensure the client makes a smooth transition from hospital to the community, the assessment considers the attendant care and other allied health and therapy services they will need.

For help completing this form, see the separate notes document.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. Please email forms or other documents to and include the client's claim number in the subject line.