The document describes a 4-stage balance test to assess static balance in older adults. It involves having the patient stand in 4 progressively difficult positions for 10 seconds each without moving their feet or needing support. The positions are side-by-side, heel-toe, tandem stand, and standing on one foot. An older adult unable to hold the tandem stand for 10 seconds is at increased risk of falling and should be referred to physical therapy or an evidence-based fall prevention program.