INSTITUTE FOR ALGORITHMIC MEDICINE Combining Multiple Impairments

Purpose: To determine the total impairment when more than one condition is present.

Values     Rank Number of conditions (from 2 - 5)              Percentage impairment condition 1 (enter from 0 to 100) percent   Percentage impairment condition 2 (enter from 0 to 100) percent   __ __ __ __ __ __  Percentage impairment condition 3  (enter from 0 to 100)   percent   __ __ __ __ __ __ *Percentage impairment condition 4  (enter from 0 to 100)   percent   __ __ __ __ __ __ *Percentage impairment condition 5  (enter from 0 to 100)   percent