This is a thorough application that asks for a good deal of information, as well as photos. Please answer all questions as completely as possible. This is a secure website, and the information you share will be kept confidential and used only for this project.
User account is required
You must have a Posture 24/7 website account in order to access the form.
Completed applications are due at 11:59 pm on December 8, 2017.
It will be faster and easier to complete if you have demographic information for the focus person available, as well as names and contact information (i.e. phone number, email address, fax number) for the most involved members of that person’s care team (e.g. primary care doctor, occupational or physical therapists, personal care assistants, family support specialists, nurses). Other necessary information includes diagnoses/medical conditions, medications, assistive technology/medical equipment, daily routines and photos.