Form preview

Get the free PHYSICAL THERAPY PATIENT HISTORY INTAKE FORM NON-BREAST

Get Form
PHYSICAL THERAPY. PATIENT HISTORY INTAKE FORM. NON-BREAST CANCER PATIENT ... Do you have any other past medical problems/surgeries?
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign physical therapy patient history

Edit
Edit your physical therapy patient history form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your physical therapy patient history form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing physical therapy patient history online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit physical therapy patient history. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
It's easier to work with documents with pdfFiller than you can have ever thought. Sign up for a free account to view.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out physical therapy patient history

Illustration

How to fill out physical therapy patient history:

01
Begin by gathering all necessary personal information, such as the patient's full name, address, phone number, and date of birth.
02
Next, ask about the patient's medical history, including any past surgeries, illnesses, or injuries. Inquire about any chronic conditions or diseases they may have, as well as any current medications they are taking.
03
It is important to document the patient's current symptoms or complaints. This includes any pain or discomfort they are experiencing, the duration of their symptoms, and any factors that may aggravate or alleviate their condition.
04
Inquire about the patient's lifestyle and activity levels. Ask about their occupation, hobbies, or sports they participate in, as this information can be relevant to their treatment plan.
05
A comprehensive review of systems should be conducted, covering each major body system, including cardiovascular, respiratory, musculoskeletal, and neurological systems. This helps to identify any potential red flags or areas of concern.
06
It is essential to assess the patient's functional abilities, such as their ability to walk, climb stairs, or perform specific movements. Use standardized outcome measures or functional tests to gather quantitative data when appropriate.
07
Lastly, document the patient's goals and expectations for physical therapy. This can help guide the treatment plan and track progress over time.

Who needs physical therapy patient history?

01
Individuals who are seeking physical therapy services for rehabilitation purposes, such as recovering from an injury, surgery, or managing a chronic condition.
02
Patients referred by physicians or other healthcare providers who require physical therapy intervention.
03
Individuals looking to improve their overall physical function, prevent injuries, or enhance their athletic performance.
04
Those with specific medical conditions, such as neurological disorders, musculoskeletal impairments, or cardiopulmonary conditions, who may benefit from targeted physical therapy interventions.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
42 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

pdfFiller has made filling out and eSigning physical therapy patient history easy. The solution is equipped with a set of features that enable you to edit and rearrange PDF content, add fillable fields, and eSign the document. Start a free trial to explore all the capabilities of pdfFiller, the ultimate document editing solution.
Yes, you can. With pdfFiller, you not only get a feature-rich PDF editor and fillable form builder but a powerful e-signature solution that you can add directly to your Chrome browser. Using our extension, you can create your legally-binding eSignature by typing, drawing, or capturing a photo of your signature using your webcam. Choose whichever method you prefer and eSign your physical therapy patient history in minutes.
Use the pdfFiller app for Android to finish your physical therapy patient history. The application lets you do all the things you need to do with documents, like add, edit, and remove text, sign, annotate, and more. There is nothing else you need except your smartphone and an internet connection to do this.
Physical therapy patient history is a record of a patient's past and current medical conditions, previous treatments, surgeries, medications, allergies, and other relevant information that may affect their physical therapy treatment plan.
Physical therapists and healthcare providers are required to file physical therapy patient history for each patient they treat.
Physical therapy patient history can be filled out by interviewing the patient, reviewing their medical records, and documenting relevant information in a standardized form or electronic health record system.
The purpose of physical therapy patient history is to gather information about the patient's medical history, assess their current health status, and develop a personalized treatment plan to address their needs and goals.
Information such as medical conditions, previous treatments, surgeries, medications, allergies, current symptoms, functional limitations, and relevant social and environmental factors must be reported on physical therapy patient history.
Fill out your physical therapy patient history online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.