Information for health professionals

The ACROD Parking Program relies on information provided by health professionals to determine if an applicant has a severe walking restriction and how long that severe walking restriction is expected to last.

To be eligible for an ACROD Parking Permit, an applicant must be expected to have a severe walking restriction for at least six months.  Shorter term severe walking restrictions may be considered in exceptional circumstances.

If you consider a person has a severe walking restriction the following information may assist you to complete Part B of the ACROD Parking Program Application Form.

Condition Objective test results or information Examples of severe functional impact on walking
Arthritis ·   Type

·   Location of arthritis in relation to ability to walk

·   Prognosis

·   Frequent stops when walking due to pain (e.g. less than 60m)

·   Requires ongoing specialist pain management

·   Complex walking aid for stability and endurance

Fractures &

Joint replacements

·   Site of fracture/surgery is related to weight bearing

·   Method of fracture reduction or fixation. Type of joint replacement.

·   Fracture is impacted by other conditions affecting recovery e.g. ageing, diabetes

·   Multiple fractures/joints

·   Walking restriction expected to last for 6 months or more

·   Weight bearing restriction

·   Requires walking frame / wheelchair to move

·   Requires crutches for 6 months or more

·   Fractures or surgery to both lower limbs

Heart conditions e.g. IHD, post AMI recovery, CCF, Cardiomyopathy ·   Echocardiogram (ECG) ·   Walking aid for stability and endurance

·   Dyspnoea on rest or exertion

·   Angina on exertion

Lung conditions e.g. COPD, emphysema ·   Spirometry measure ·   Unable to walk and talk

·   Requires portable oxygen

·   Using walking aid

Multiple Sclerosis ·   Type e.g. progressive/ relapsing / remitting ·   Walking aid for stability and endurance, most days
Peripheral Vascular Disease ·   Lower limb Doppler Study ·   Severe cramping

·   Frequent stops when walking due to pain

Renal failure ·   Late stage renal failure – dialysis or pre-dialysis ·   Fatigue

·   Breathlessness

·   Oedema

Severe pain on exertion ·   Pain medication

·   Location of restriction in relation to ability to walk

·   Requires ongoing specialist pain management

·   High dose pain medication

The ACROD Parking Program may contact the applicant’s health professional to discuss the following issues as part of the assessment for an ACROD Parking Permit.

  • What is causing your patient’s severe walking restriction? (medical diagnosis, tone, coordination, pain)
  • Does your patient use an aid to walk, or any other adaptive equipment? (this could include the use of oxygen)
  • Describe your patient’s gait pattern (speed, balance, tone, coordination)
  • How far can your patient walk before they need to stop?
    • Why do they stop?
  • What is the impact on your patient’s health when they walk between 50m -100m? (consider shortness of breath, angina, claudication, severe pain)
  • If your patient has an intermittent severe walking restriction how often does the restrictions Occur (days per week / weeks per month / months per year)
    • How long does this period of restrictions usually last?
    • Describe your patient’s walking ability during both good and bad periods.
  • What past treatments to improve your patient’s severe walking restriction have been trialed?
  • What is your current or future treatment plan for your patient’s severe walking restriction? (consider weight loss plan if relevant)
  • Is there an expectation that your patient’s walking restriction may improve in the future? (consider surgery, therapy, rehabilitation, trial of medications)
  • Have all treatment options been exhausted?