Telephone: (775) 746-2206
|
Fax: (775) 359-3332
|
96 Glen Carran Circle Suite 103 - Sparks, Nevada 89431
|
Email:
admin@backinmotion.net
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Functional Capacity Evaluations
(FCE)
Workers Compensation
Disability Evaluations
Fit For Duty Evaluations
FCE Referral Options:
Ph: (775) 746-2206
Fax: (775) 359-3332
Email:
admin@backinmotion.net
FCE Referral – Required Supporting Documentation:
✔Written Authorization for FCE Including:
1) FCE Appointment Date (copy of patient's appointment letter is acceptable)
2) Referring Source
3) Accepted Body Part(s)
✔ Initial Consult from Referring Physician (if applicable)
✔ Most Recent Dictation from Referring Physician (if applicable)
✔ Pre-Injury Job Description (if available)
✔ Surgical Reports Pertaining to Claim
Please review our
FCE FAQs
for more information.
Tests Include:
- Functional Tolerances
- Positional Tolerances
- Endurance
- Agility
- Strength
- Safety
- Balance
- Dexterity/Speed of Hands
- Weight/Frequency Tolerances for lifting, carrying pushing and pulling