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REHABILITATIVE SERVICES PHYSICAL THERAPY CONSULTATION Hospital PATIENT IDENTIFICATION Long Term Care ADMITTING DIAGNOSIS: PAST MEDICAL HISTORY: GENERAL OBSERVATION / SUBJECTIVE: PRIOR LEVEL OF FUNCTION:

How to fill out rehabilitative services physical formrapy

How to fill out rehabilitative services physical formrapy:

1. Start by carefully reading the instructions provided on the form. Make sure you understand all the requirements and sections that need to be filled out.
2. Begin by providing your personal information, including your full name, date of birth, address, and contact details. These details are essential for identification and communication purposes.
3. Move on to the medical history section. Here, you will need to provide detailed information about any previous medical conditions, surgeries, allergies, or ongoing treatments you may have had. Be thorough and precise while filling out this section to ensure accurate documentation.
4. The next step is to fill out the rehabilitative services section. Here, you will need to describe the type of service you are seeking, whether it is physical therapy, occupational therapy, or any other specific rehabilitative service. Specify the reason for seeking this service, such as an injury, illness, or disability.
5. If you have been referred to the rehabilitative services by a healthcare practitioner, provide their name, contact information, and any additional details that may be required. This will help in coordinating and tracking your progress.
6. In some cases, you may need to provide additional supporting documents or reports. If this is the case, make sure to attach them securely to the form. These documents may include medical reports, imaging results, or any relevant test results.
7. Lastly, carefully review the form before submitting it. Double-check all the information you have provided to ensure accuracy. If there are any sections or questions that you are unsure about, seek assistance from a healthcare professional or the designated authority responsible for processing the form.

Who needs rehabilitative services physical formrapy:

1. Individuals who have experienced physical injuries or impairments that require therapeutic intervention may need rehabilitative services physical therapy.
2. People with chronic medical conditions or disabilities that affect their physical functioning may also require rehabilitative services to improve their mobility, strength, and overall quality of life.
3. Those who have recently undergone surgery, such as joint replacements or spinal procedures, may benefit from rehabilitative services to aid their recovery, regain function, and prevent complications.
4. Athletes or individuals involved in sports-related activities who have suffered injuries or require specialized training to optimize their performance may also need rehabilitative services physical therapy.
5. Occupational injuries or work-related conditions that affect an individual's ability to perform their job tasks may require rehabilitative services to facilitate their safe return to work.
6. Older adults who experience age-related changes, such as reduced flexibility, balance issues, or decreased mobility, may benefit from rehabilitative services to improve their functional independence and maintain their quality of life.

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