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Professional Toolkit

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This Professional Toolkit has been created with you in mind. The Pacific South Coast Chapter Clinical Advisory Committee is made up of volunteer clinicians who know what caring for MS patients is about. Together, they have put together this informative toolkit so Health Care Professionals can access the tools they need most, right at their fingertips.

National Professional Resource Center
Resource Guide for Clinicians

Checklists & Assesment Forms
Balance Screening
Fall Prevention Checklist
Home Safety Checklist
Kurtzke Expanded Disability Status Scale Form
Kurtzke Functional Systems Scores Form
MS Diagnostic Criteria
Patient Symptom Management Checklist

Medication Enrollment Forms for Physicians
Ampyra
Betaseron
Copaxone
Rebif

Government Forms
California DMV Placard Application

Society Information & Materials
Literature Request Order Form (for patients)
Publication Order Form (for healthcare professionals)

Other
Disease Modifying Drugs
Exercise Guide
Neurologist Office Referral Form