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Run: Timed Up and Go Test Documentation

Timed Up and Go Test Documentation records baseline and reassessment times, mobility observations, and fall-risk follow-up in one clinical form. Use it to st...

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Test Context

Assessment Type (required)

Assessment Date (required)

Assessment Time

Assessment Setting (required)

Patient Mobility Baseline

Assistive Device Used

Required Physical Assistance During Test (required)

Baseline Mobility Notes

Briefly note relevant mobility limitations, balance concerns, or precautions. Do not include unnecessary PII.

Timed Up and Go Results

Baseline Time (seconds)

Enter the time in seconds for the rise, walk 3 meters, turn, return, and sit sequence.

Reassessment Time (seconds)

Enter the reassessment time in seconds if this is a follow-up test.

Completed Test Without Stopping (required)

Observed Difficulty

Fall Risk and Follow-Up

Fall Risk Concern (required)

Follow-Up Recommended

Yes No N/A

Clinician Notes

Add concise interpretation, precautions, or next steps. Collect only information needed for care.

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