Choosing the right health care service for yourself or a loved one can be challenging. With that in mind, Liberty Healthcare and Rehabilitation Services has developed this short questionnaire to help you determine what may be the right choice. Step 1 of 2 How often does the patient need medical care? * 24 hours a day No more than a few hours a day More than a few hours; less than 24 hours a day Is the patient's condition life-limiting? * Yes No Has the patient had a recent hospital stay? * Yes No Does the patient prefer living in a social setting with others of similar ages and backgrounds? * Yes No Does the patient have a new medical condition, exacerbation of a previous medical condition, recent fall, or recent surgery? * Yes No How far can the patient walk? * 100 ft 50 ft Other If "other" please indicate distance in the field below. Would the patient benefit from services, such as physical therapy, speech therapy, or occupational therapy? * Yes No Not Sure Has the patient received physical therapy, speech therapy, or occupational therapy since the beginning of the year? * Yes No Would the patient benefit from advanced wound care, or other similar treatments? * Yes No Not Sure Would the patient benefit from medication monitoring? * Yes No Next Privacy Policy Contact Us FAQ Healthcare Academy Liberty Intranet Language Assistance Available English Spanish 繁體中文 TIẾNG VIỆT 한국어 TAGALOG РУССКИЙ FRANÇAIS PORTUGUÊS DEUTSCH العربية 日本語 فارسی हिंदी ગુજરાતી HMOOB اُردُو ខ្មែរ বাংলা አማርኛ ພາສາລາວ УКРАЇНСЬКА IGBO ASUSU ÈDÈ YORÙBÁ ƁÀSƆ́Ɔ̀-WÙƉÙ-PO-NYƆ̀ ** Liberty Healthcare and Rehabilitation Services and each of its affiliated facilities complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ** Copyright © 2021 – Liberty Healthcare & Rehabilitation | Health and Wellness Website Design by Awesome Website Guys