REALM (Rapid Estimate of Adult Literacy in Medicine) is a tool to help the health care provider to select appropriate educational materials based on a client's abiltiy to read common medical words and lay terms.

Instructions for administration can be found at the Indian Health Service website.

A word list used in evaluation may also be found at the Indian Health Service website.

Crouch, M., Davis, T., Long, S. (1998). REALM: Examiner's Instruction Sheet. Retrieved on February 14, 2006 from http://www.ihs.gov/nonmedicalprograms/healthed/pdf/pted_realm_instr.pdf

Crouch, M., Davis, T., Long, S. (1998). REALM. Retrieved on February 14, 2006 from http://www.ihs.gov/nonmedicalprograms/healthed/pdf/pted_realm_examiner_wordlist.pdf