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Dept. of Physical Therapy 1501 W. Bradley Ave. Peoria, IL 61625 Phone: (309) 677-3489 Fax: (309) 677-4053 Email: Dressler Bradley.edu www.bradley.edu/dpt BRADLEY U N I V E R S I T Y Application for
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How to fill out of physical formrapy 1501:
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Start by carefully reading the instructions provided on the form.
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Begin by entering your personal information, such as your full name, address, and contact details.
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Next, provide any relevant medical history and information about your current health condition.
04
If required, indicate any allergies or medications you are currently taking.
05
Follow the instructions to accurately record your height, weight, and other physical measurements.
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Provide details about any previous physical therapy treatments or interventions you have received.
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Finally, sign and date the form to certify the accuracy of the information provided.
Who needs physical formrapy 1501:
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Individuals who have been referred for physical therapy by their healthcare provider.
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Individuals who have experienced injuries, surgeries, or medical conditions that require rehabilitation.
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Anyone who wishes to seek physical therapy for improving their mobility, strength, or overall physical function.
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What is of physical formrapy 1501?
Physical Formrapy 1501 is a form used for reporting specific health-related data pertaining to physical therapy services rendered.
Who is required to file of physical formrapy 1501?
Licensed physical therapists and physical therapy clinics that provide services covered under relevant health plans are required to file this form.
How to fill out of physical formrapy 1501?
To fill out Physical Formrapy 1501, gather patient information, service details, and relevant treatment data, then complete each section accurately and ensure signatures are provided where needed.
What is the purpose of of physical formrapy 1501?
The purpose of Physical Formrapy 1501 is to document and report physical therapy services for billing and compliance with insurance and healthcare regulations.
What information must be reported on of physical formrapy 1501?
Information that must be reported includes patient demographics, service dates, types of treatment provided, duration of treatments, and therapist credentials.
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