Albertan Power Mobility Application Instructions
This file is a comprehensive guide for applying for power mobility equipment funding through Alberta's AADL program. It contains detailed instructions, eligibility requirements, and necessary information for applicants. Ensure to fill out the form completely to avoid delays in processing.
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How do I fill this out?
Filling out the AADL Power Mobility Application is straightforward. Begin by gathering all required personal and clinical information. Carefully complete each section of the form, ensuring accuracy to promote a smooth application process.

How to fill out the Albertan Power Mobility Application Instructions?
1
Gather all necessary information about the client and authorizers.
2
Fill in the client’s clinical history and current mobility equipment.
3
Ensure all questions are answered clearly and accurately.
4
Review the form for completeness before submission.
5
Submit the application to the provided address.
Who needs the Albertan Power Mobility Application Instructions?
1
Individuals with mobility impairments seeking funding for mobility equipment.
2
Healthcare professionals assisting clients in applying for mobility aids.
3
Caregivers looking to secure funding for their clients' power mobility needs.
4
Families of pediatric clients needing power wheelchairs.
5
Residents of Alberta who require a structured application process for AADL benefits.
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What are the instructions for submitting this form?
To submit the AADL Power Mobility Application, please send the completed form by mail to Alberta Aids to Daily Living, TELUS House, 13th Floor, 10020 - 100 Street, Edmonton, Alberta T5J 0N3. Alternatively, you can fax the form to 780-422-0968. Ensure all necessary documentation is attached and legible to prevent processing delays.
What are the important dates for this form in 2024 and 2025?
Important dates for the AADL Power Mobility Application include funding application deadlines and submission cutoffs to ensure timely processing for clients in 2024 and 2025.

What is the purpose of this form?
The purpose of the AADL Power Mobility Application is to provide eligible clients with the means to apply for funding assistance for power mobility aids. This form collects essential health information, clinical assessments, and caregiver details necessary for processing the request. By submitting this application, clients can gain access to mobility support, enhancing their capacity to lead independent lives.

Tell me about this form and its components and fields line-by-line.

- 1. Client Information: Contains personal details such as name, health number, and birth date.
- 2. Authorizer / Assessor Information: Includes information about the authorizer and any additional assessors.
- 3. Current Mobility Equipment: Details the applicant's current mobility aids.
- 4. Clinical History: Gathers medical conditions, diagnoses, and the stability of the client's condition.
- 5. Client Capacity: Evaluates the client's ability to operate mobility equipment safely.
- 6. Accessibility: Assesses the client's home and community accessibility for mobility equipment.
- 7. Care and Maintenance: Determines if the client or caregiver can maintain the equipment.
What happens if I fail to submit this form?
If the AADL Power Mobility Application is not submitted, clients may miss out on essential funding support for their mobility needs. Delayed or incomplete applications can lead to extended waiting periods for necessary equipment.
- Missing Information: Incomplete forms may be returned or delayed leading to additional processing time.
- Lack of Documentation: Failure to provide necessary clinical documentation could result in application denial.
- Improper Submission: Not following submission guidelines may result in the application not being processed.
How do I know when to use this form?

- 1. New Applicants: Individuals applying for the first time for mobility funding.
- 2. Equipment Replacement: Clients needing to replace an existing mobility aid that is damaged or irreplaceable.
- 3. Pediatric Clients: Families seeking aid for children requiring power mobility assistance.
Frequently Asked Questions
What is the purpose of the AADL Power Mobility Application?
The application is used to request funding for power mobility equipment through the Alberta Aids to Daily Living program.
How do I submit this application?
Applications can be submitted by mail or fax to the Alberta Aids to Daily Living program.
What information do I need to complete the form?
You will need personal health information, authorizer details, and client clinical history.
Can I fill out this form online?
Yes, you can use PrintFriendly to fill out and edit the form online.
What should I do if my application is incomplete?
Incomplete applications will be returned; ensure all information is filled out completely.
Is there support available if I have questions?
Yes, you can contact the Alberta Aids to Daily Living Program for assistance.
Can pediatric clients be exempt from certain requirements?
Yes, pediatric clients applying for their first power wheelchair may be exempt from some requirements.
What happens after I submit the application?
Your application will be reviewed, and you will be notified of the outcome.
Are there deadlines for submissions?
It is advisable to submit your application as soon as all information is gathered.
How can I edit the PDF after filling it out?
You can easily edit the PDF using the PrintFriendly editor before submission.
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