Guidelines for various disabilities and procedure for certification:
Locomotor disability is defined as a persons inability to execute distinctive activities associated with moving both himself and objects, from place to place and such inability resulting from affliction of musculoskeletal and/or nervous system.
- Categories of Locomotor Disability
The categories of locomotor disabilities are enclosed at Annexure-A.
- Process of Certification
1. Guidelines for Evaluation of Permanent Physical Impairment of Upper Limb
2.Guidelines for Evaluation of permanent physical Impairment in Lower Limb
3. Guidelines for Evaluation of Permanent Physical Impairment of Trunk (Spine)
4.Guidelines for Evaluation of PPI in cases of Short Stature/Dwarftsm
5.Guidelines for Evaluation of Permanent Physical Impairment in Amputees
6.Guidelines for Evaluation of Permanent Physical Impairment of Congenital deficiencies of the limbs
7.Guidelines for Evaluation of Physical Impairments in Neurological conditions
8.Guidelines for Evaluation of Physical Impairment due to Cardiopulmonary
ANNEXURE – B
CERTIFICATE OF MENTAL RETARDATION FOR GOVERNMENT BENEFITS
This is to certify that Shri/Smt./Kum______________________________________________ Son/ Daughter of___________________________________________________ of Village/Town/City ___________________________________with particulars given below:-
a) Age
b) Sex
c) Signature/Thumb impression
CATEGORISATION OF MENTAL RETARDATION
Mild/Moderate/Server/Profound
Validity of the Certificate : Permanent
Signature of the Government
Doctor/Hospital with seal
Chairperson Mental Retardation
Certification Board
Recent attested photograph showing the disability affixed here.
Dated:
Place:
ANNEXURE – B
STANDARD FORMAT OF THE CERTIFICATE
Certificate No.____________
Date____________
CERTIFICATE FOR THE PERSONS WITH DISABILITIES
This is to certify that Shri/Smt/Kum_____________________________________________________________ Son/wife/daughter of Shri____________________________________________________ Age_____________old male/female, Registration No.___________________ is a case of _______________________________________________________________ He/She is physically disabled/visual disabled/speech & hearing disabled and has______% (_______ per cent) permanent (physical impairment/visual impairment/speech & hearing impairment) in relation to his/her ______________________________________________________
Note:-
1. This condition is progressive/non-progressive/likely to impreove/not likely to improve.*
2. Re-assessment is not recommended/is recommended after a period of ______________________________months/years.*
*Strike out which is not applicable.
Sd/- Sd/- Sd/-
(DOCTOR) (DOCTOR) (DOCTOR)
Seal Seal Seal
Signature/Thumb impression of the patient.
Countersigned by the
Medial Superintendent/CMO/Head of Hospital (with seal) Recent attested photograph showing the disability affixed here.
prem chand baniya age 35 years mental retarded iwant his certificate.want renew from kuchaman city hospital.