Functional Mobility Exam

/ Lipedema / By

Downloadable Files below:


When you are fighting for insurance approval for lipedema surgery, having objective data is everything. To help secure my own coverage, I used these functional mobility exams to clearly demonstrate the physical impact and limitations lipedema caused in my daily life. There is no standard test for lipedema and these documents are derived from my personal experience.

Below, you can download a blank Physical Evaluation of Lipedema template, as well as the Upper Extremity Functional Index (UEFI) and Lower Extremity Functional Scale (LEFS). These are designed for your physical therapist or doctor to fill out and include as evidence in your insurance appeal or approval packet.

Physical Evaluation of LipedemaDownload
The Upper Extremity Functional Index (UEFI)Download
The Lower Extremity Functional Scale (LEFS)Download

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Disclaimer: I am not a medical professional or healthcare provider. The information shared in this post is based solely on my personal experience and journey with lipedema. This content is for informational and educational purposes only and should not be taken as medical advice. Always consult with a qualified doctor or healthcare specialist before starting new treatments, diets, or management protocols.