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(see OAR 411-034-0010)
8
Feeding
9
Mobility, transfers, or repositioning
10 Toileting, bowel, or bladder care
Subtotal
Domain 1 Total
Full
4
4
4
4
4
5
5
5
5
5
Partial
3
3
3
3
3
4
4
4
4
4
Minimal
2
2
2
2
2
3
3
3
3
3
None
0
0
0
0
0
0
0
0
0
0
0
0
0
Domain 2: Frequency of assistance to complete IADL tasks
11 Managing finances
12 Access transportation
13 Manage and attend medical or health appointments
14 Comply with court or legal requirements
15 Attend educational or training...
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