Evaluation and Justification Form

Mobile Shower Commode Chair (MSCC) Medical Justification (short form)

The Raz Mobile Shower Commode Chair (MSCC) Justification Form (short form) helps clinicians and dealers provide a user / environment assessment and determine the best chair and configuration for the user.  The justification section also provides key points that can be used in a Letter of Medical Necessity.

 


Mobile Shower Commode Chair (MSCC) Evaluation and Medical Justification Form (full-length version)

The Raz Mobile Shower Commode Chair (MSCC) Evaluation and Justification Form helps clinicians and dealers provide a thorough user / environment assessment and determine the best chair and configuration for the user.  The justification section also provides key points that can be used in a Letter of Medical Necessity.