Elderly Accidents, Deaths & Injuries)
Tool Kit for Health Care Providers
1. Triage Your Patients
Based on Fall Risk
This tool walks health care providers through assessing a
patient’s fall risk, educating patients, selecting interventions, and
2. See Your Patient's Risk at
This checklist allows health care providers to summarize an
older patient's fall risk.
3. Have Your Patients Check Their Risk
This brochure offers a checklist that patients can use to
check their risk of falling.
4. Integrate Fall Prevention into Your
This wall chart helps health care providers determine who in
their practice will be responsible for conducting fall risk
assessments, delivering interventions, and providing education to older
5. Prevent Falls in Older Patients, Provider Pocket
This small, easy-to-use tool walks health care providers
through key points of fall prevention.
6. Talk about Fall
Prevention with Your Patients
This document can help health care providers comfortably talk
about fall prevention with patients.
7. Patient Referral Form
Use this form to refer a patient to a specialist for gait and
mobility problems or for other medical problems that may increase his
or her risk of falling.
Centers for Disease Control and Prevention.
(2013). Home & Recreational Safety. STEADI (Stopping Elderly
Accidents, Deaths & Injuries). Retrieved 8-27-2013.