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PHYSICAL THERAPY 2015 Office of Health Professions, University of North Texas PT Schools Angelo State University Hardin Simmons University Texas State University School of Allied Health Sciences Texas

How to fill out pre physical formrapy

How to Fill Out Pre Physical Therapy Form:

1. Start by providing your personal information such as your full name, date of birth, age, gender, address, and contact details. This information is necessary for identification and communication purposes.
2. Next, indicate your medical history. Include any previous injuries or medical conditions you have had, as well as any surgeries or ongoing treatments. This information helps the physical therapist assess your current condition and develop a suitable treatment plan.
3. Provide details of your current medications, both prescribed and over-the-counter. Include the dosage and frequency of use. This information is important as certain medications can impact your physical therapy treatment.
4. Describe your main reason for seeking physical therapy. Explain the symptoms you are experiencing, when they started, and any activities or movements that worsen or alleviate the symptoms. The more specific you are, the better the physical therapist can understand your condition.
5. Indicate any known allergies you have, especially to medications or specific substances used during physical therapy sessions. This is crucial to ensure your safety during the treatment process.
6. Mention any other healthcare professionals you are currently seeing or have seen in relation to your condition. This may include primary care physicians, orthopedic surgeons, chiropractors, or other specialists. Knowing your healthcare team allows the physical therapist to coordinate your treatment effectively.
7. Sign and date the form to acknowledge that the information provided is accurate and complete. By doing so, you give consent for the physical therapist to use the information for evaluation and treatment purposes.

Who Needs Pre Physical Therapy Form:

1. Individuals who have been referred to physical therapy by their healthcare providers. This can include patients recovering from surgeries or injuries, those with chronic pain or mobility issues, individuals managing a specific medical condition, or individuals seeking to improve their overall physical fitness.
2. Athletes or sports enthusiasts who require rehabilitation or performance enhancement. Physical therapy can address sports-related injuries, improve athletic performance, and prevent future injuries.
3. Occupational health patients who require therapy to recover from work-related injuries, improve functional abilities, or return to work safely.
4. Individuals with neurological conditions such as stroke, Parkinson's disease, multiple sclerosis, or spinal cord injuries. Physical therapy can help manage symptoms and improve mobility and quality of life.
5. Those with musculoskeletal conditions like arthritis, back pain, joint pain, or muscle strains. Physical therapy can provide pain relief, restore mobility, and improve strength and flexibility.
6. Individuals with balance and coordination issues or those at risk of falls. Physical therapy can help improve balance, gait, and stability to reduce the risk of falls and injuries.

Remember, the decision to seek physical therapy is best made in consultation with a healthcare professional. They can evaluate your specific needs and guide you towards the appropriate course of treatment.

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