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Updated 6-2-02
FORMS PRODUCTS CONTACT US
EZ-PCE Instructions
Patient Information LetterHead


Patient Name:
Test Date:
Doctor:

Age:

Male
Female
Right Handed
Left Handed


Physical Capacity Evaluations:
Baseline Exam Follow Up Exam Final Exam

Range of Motions:
Normal Values(3 Spine) Florida WC
Spine
Upper Extremities
Lower Extremities
Muscle Testing
lbs. Kg. Grade
Spine
Upper Extremities
Lower Extremities
Custom
NIOSH Lifting Task

Pinch & Grip
W/5 Position Bell Curve


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