Fall Prevention Checklist



About 3 million older adults are treated in emergency departments for a fall injury each year. One out of every five falls causes an injury, such as broken bones or a head injury.

Are you afraid of falling and losing your independence? Do you worry about the safety of your loved ones? Have you or someone you know already suffered from a dangerous fall?

If so, you know how devastating the consequences can be. From broken bones to head injuries, falls can lead to serious health problems and even death. But the good news is that many falls can be prevented with the right precautions. That's why we've created this fall prevention checklist to help you and your loved ones stay safe and avoid the pain and suffering of a fall-related injury.

Fall Risks:

  • Any trouble with balance or getting out of chair
  • Any prior falls- when and how they happened
  • Side effects with medicine
  • Difficulty walking or stairs
  • Pain with certain movements

Program & Service:

  • Reduce Risks- Identify underlying factors and manage based on severity.

  • Maximize Recovery- Facilitate to the most appropriate services for your current needs.

  • Intervene & Monitor-Monitor gains to ensure successful outcomes of interventions

  • Return to Independence-Your provider will use the results to facilitate a return to maximum independence

Protect Yourself and Your Loved Ones with This Fall Prevention Checklist

Complete the form below to get your fall risk prevention checklist. Don't wait until it's too late. 

Dr. Peyman A. Elison
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Founder and Managing Partner of Fixing Feet Institute