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WELCOME TO SODDEN PHYSICAL THERAPY, LLC
We are committed to providing you with the best possible care. If you have medical insurance, we are
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How to fill out welcome to Stodden Physical:
01
Start by writing your full name in the designated space.
02
Provide your date of birth, including the month, day, and year.
03
Indicate your current address, including the street, city, state, and zip code.
04
Write down your phone number and email address, so the staff can easily contact you.
05
Fill in your emergency contact information, including the name, relationship, and contact details of someone to reach out to in case of an emergency.
06
Specify any allergies or medical conditions that the staff should be aware of for your safety.
07
If you are currently on any medication, accurately list the names and dosages.
08
Provide information about your insurance coverage, including the name of the insurance company and your policy number.
09
Sign and date the form to acknowledge that the information provided is true and accurate.
Who needs welcome to Stodden Physical:
01
Patients who are new to Stodden Physical and are seeking medical treatment or therapy.
02
Individuals who have never filled out the welcome form at Stodden Physical before.
03
Any person who wants to become a patient of Stodden Physical and needs to provide their personal and medical information to start the process.
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What is welcome to stodden physical?
Welcome to Stodden Physical is a form designed to collect information about a student's physical health and fitness.
Who is required to file welcome to stodden physical?
Students are required to file Welcome to Stodden Physical as part of their school's requirements.
How to fill out welcome to stodden physical?
To fill out Welcome to Stodden Physical, students must provide information about their medical history, current health status, and any physical activities they are involved in.
What is the purpose of welcome to stodden physical?
The purpose of Welcome to Stodden Physical is to ensure that students are healthy and fit to participate in physical activities at school.
What information must be reported on welcome to stodden physical?
Information such as medical history, current health status, and physical activity levels must be reported on Welcome to Stodden Physical.
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