Approved Professional Assessment

Submit a patient assessment to RehabMart for review.

This page is for approved professionals with a valid Professional ID. RehabMart reviews every submission before product guidance, pricing, order creation, payment, or workshop release.

Professional Assessment

Patient assessment details

Use this form only when the patient or family has given permission to share details with RehabMart for equipment guidance.

Professional ID Professional ID

Professional ID must be validated before submission.

Patient / family details Patient/customer name WhatsApp / phone City Age

Assessment details Condition Main concern Functional status Measurements / body details Photos / videos received status Suggested product / system Professional assessment notes Urgency

Consent

Assessment submitted to RehabMart for review. Please do not promise product, price, or delivery until RehabMart confirms.