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Functional Limitations Worksheet - Kansas

Order of Selection / Rationale for determining serious Functional Limitations related to employment Instructions: Counselors may use this optional form as an analytical tool. For each Functional limitation that will be counted for the category designation: 1. Circle the appropriate indicators (optional). 2. In the space provided, write in your analysis of how and why this limitation results in a substantial impediment to employment. 3. In the space provided, write in your references to documentation in the service record that supports the analysis.

Order of Selection / Rationale for determining serious functional limitations related to employment Instructions: Counselors may use this optional form as an analytical tool.

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  Worksheet, Functional, Limitations, Functional limitations worksheet, Functional limitations

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