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PHYSICAL THERAPY PRESCRIPTION Sunny Cheung, MD 19333 Bear Valley Road, Suite 104 Apple Valley, CA 92308 LIC: A92134 NPI: 1932398526 Phone (760) 247-8462 Fax (760) 247-8527 Name Date Diagnosis: Right
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How to fill out a physical therapy prescription:

01
Begin by filling in the patient's personal information, such as their full name, date of birth, and contact information. This ensures proper identification and communication.
02
Indicate the referring physician's information, including their name, address, and contact details. This is important for maintaining a record and establishing a line of communication between the therapist and the referring doctor.
03
Specify the diagnosis or condition that requires physical therapy. This helps the therapist understand the patient's health issue and tailor the treatment accordingly.
04
Provide detailed instructions for the type and duration of physical therapy treatment required. This may include the frequency of sessions, specific exercises or techniques to be used, and any precautions or limitations.
05
Mention any additional considerations or special requirements, such as the need for assistive devices, use of modalities, or specific goals to achieve during therapy.
06
If applicable, include the start and end dates for the prescribed physical therapy. This helps the therapist schedule appointments and track the progress of treatment.
07
Sign and date the prescription to authenticate it. This ensures that the prescription is valid and can be easily recognized by the therapist.

Who needs a physical therapy prescription?

01
Individuals who have recently undergone surgery and require rehabilitation to regain mobility and functional abilities.
02
Patients with acute or chronic musculoskeletal disorders, such as back pain, arthritis, or sports injuries.
03
People with neurological conditions, including stroke, Parkinson's disease, or multiple sclerosis, who need therapy to improve motor control or reduce symptoms.
04
Individuals recovering from accidents or trauma that have resulted in physical impairments or limited mobility.
05
Athletes who require specific physical therapy interventions to prevent or treat sports-related injuries and enhance performance.
06
Patients with chronic pain conditions who can benefit from targeted exercise programs and other therapeutic interventions.
07
Individuals seeking physical therapy to improve balance, flexibility, posture, or overall physical fitness.
Please note that the requirement for a physical therapy prescription may vary based on the healthcare system and specific regulations in different countries. It is always recommended to consult with a healthcare professional to determine the necessary steps for obtaining a physical therapy prescription.
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Physical therapy prescription refers to a written order from a licensed healthcare provider to receive specific physical therapy treatment.
Physical therapists are required to file physical therapy prescriptions for their patients.
Physical therapy prescriptions can be filled out by healthcare providers specifying the type, duration, and frequency of physical therapy treatment.
The purpose of physical therapy prescriptions is to ensure that patients receive the appropriate and necessary physical therapy treatment for their condition.
Physical therapy prescriptions must include the patient's information, diagnosis, recommended treatment plan, and healthcare provider's signature.
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