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Patients with spinal cord injury (SCI) commonly require a wheelchair for primary mobility, but every patient presents unique needs that must be considered to avoid potentially short- or long-term consequences of improper equipment use. Therefore, it is strongly recommended that evaluation and documentation* be in collaboration with a certified assistive technology professional.** This can be accomplished at the nearest health system or hospital-based outpatient facility or clinic (search here) where one can be advised on his/her specific physical requirements, considerations of insurance stipulations, assistive technologies, wheelchair selection, vendor selection, wheelchair fitting, and seating evaluation.

Select condition of medically necessity for patient who:
*In some cases with Medicare, the physician is required to perform a "Face to Face Evaluation" and document in a clinic visit done for the purpose of determining need for a mobility device. This documentation should be done in usual form of documentation and not on a letter head provided by a Durable Medical Equipment (DME) provider.

**Some insurance will require an evaluation by a licensed Physical or Occupational Therapist. Search for a Seating and Mobility Specialist (SMS) at the nearest health system or hospital-based outpatient facility or clinic.



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The University of Alabama at Birmingham Spinal Cord Injury Model System provides this website as an auxiliary resource for the primary care of patients with spinal cord injury.The contents of this website were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90SIMS0020). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.