Am Pac Form – Fill Out and Use This PDF

AM-PAC Form PDF Details

The Am Pac (Activity Measure for Post-Acute Care) was created by Alan Jette at Boston University to give clinicians a reliable way to track basic mobility and daily activity recovery. Individuals rate their difficulty across a range of physical tasks on a four-point scale: unable, a lot, a little, and none. The resulting raw rating reflects the individual's current mobility capacity and helps identify which daily activity areas need targeted rehabilitation support. The short-form version covers the most clinically relevant items, making it practical for regular outpatient visits. Clinicians collect these ratings at intake, mid-treatment, and discharge to document objective functional change over time. Because it captures measurable data at each session, the Am Pac helps providers justify continued therapy frequency and adjust treatment plans based on outcomes. Many inpatient facilities also use the AM-PAC 6-Clicks approach, a condensed six-item derivative of this activity measures instrument, for rapid functional screening. The original Boston University Am Pac remains the reference standard for outpatient basic mobility evaluation.