COMBI >> Scales >> Patient Competency Rating Scale >> Rating Forms

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	Contact Stephanie Kolakowsky-Hayner , PhD, Santa Clara Valley Medical Center at
	Citation Kolakowsky-Hayner, S. (2010). The Patient Competency Rating Scale. The Center for Outcome Measurement in Brain Injury. http://www.tbims.org/ combi/pcrs ( accessed ). *Note: This citation is for the COMBI web material. Dr. Kolakowsky-Hayner is not the scale author for the PCRS.

PCRS Rating Forms

Three rating forms are available: Patient, Relative, and Clinician. The Patient form plus at least one of the other forms must be used concurrently in order to produce a discrepancy score. The items on the three forms are identical except for appropriate wording changes. The Relative and Clinician form also have spaces to indicate the relationship to the subject and a rating of how well acquainted the informant is with the subject's behavior

You can download the three versions of the PCRS in Portable Document Format (PDF):

PCRS Patient Form (64K)

PCRS Relative Form (68K)

PCRS Clinician Form (64K)

(What is PDF and How do I use PDF Files?)

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