For clinicians

Blank evidence checklist

Headings and empty boxes only. What goes in each box is your clinical judgement, so nothing is pre-written. Print it or save it as a PDF.

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Evidence checklist: SDR HDMI dongle

Participant need

Plan goals

What was considered

Why this item

Risks and how they are managed

Who will help set it up

Cost

A$299 including GST. Shipping within Australia is free.

What SDR shows. The exercise cards the clinician or participant chose, one at a time on a screen, changed at the interval they set.

What it does not do. It does not diagnose, treat, monitor or record anything, and it does not record whether an exercise was done.

Self-Driven Recovery. Bayani Mills, ABN 45 347 252 157, Dee Why NSW 2099. Not registered with the NDIS Quality and Safeguards Commission.