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SE BU LA COMMUNICATION CENTER AOA Wisconsin 13931 Spring Street Stuyvesant, WI 53177 Phone: 18002625221 Fax: 2628866879 International: 2628861050 SPLINT Rx Dr. Acct # Address Bite Registration Instructions
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How to fill out splint rx - aoa

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How to fill out splint rx - aoa:

01
Start by clearly labeling the top of the form as "Splint Prescription - American Osteopathic Association (AOA)."
02
Fill in the patient's personal information, including their full name, date of birth, address, phone number, and email (if applicable).
03
Indicate the date on which the prescription is being written.
04
Specify the ordering healthcare provider's information, including their full name, title/degree, clinic/organization name, address, phone number, and fax number.
05
Describe the patient's diagnosis or condition that necessitates the use of a splint. Be as specific as possible.
06
Clearly state the type of splint to be prescribed and any specific features or modifications required.
07
Provide instructions for the duration of splint use, such as full-time or part-time usage, specific activities to avoid, and guidelines for taking the splint on and off.
08
If applicable, mention any additional treatments or therapies to be used in conjunction with the splint.
09
Include any necessary special instructions or precautions that the patient should be aware of, such as wound care, referral for physical therapy, or follow-up appointments.
10
Finally, sign and print the ordering healthcare provider's name, along with their professional credentials and the date of signing.

Who needs splint rx - aoa:

01
Patients with fractures or injuries that require immobilization and support.
02
Individuals with conditions like arthritis, carpal tunnel syndrome, or tendonitis that may benefit from immobilization.
03
Athletes dealing with sports-related injuries that necessitate stabilization of affected joints or muscles.
04
Patients recovering from surgery or those undergoing post-operative rehabilitation.
05
Individuals with congenital abnormalities or neurological conditions that may require the use of a splint for therapeutic purposes.
06
People with chronic conditions like Ehlers-Danlos syndrome or hypermobility disorders that could benefit from splinting to prevent further joint damage.
07
Patients with certain upper limb or hand-related conditions, such as De Quervain's tenosynovitis or trigger finger, that may require splinting to alleviate pain and promote healing.
08
Individuals undergoing orthodontic treatment who may require splints to aid in jaw alignment and stability.
Please note that this content is for informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for personalized guidance regarding splint prescriptions and treatment options.
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splint rx - aoa is a form used to prescribe a splint for a patient.
Orthopedic doctors or healthcare providers authorized to prescribe splints are required to file splint rx - aoa.
To fill out splint rx - aoa, the healthcare provider must provide patient information, details of the prescribed splint, and any specific instructions.
The purpose of splint rx - aoa is to communicate the need for a splint to other healthcare professionals and to document the prescription for the patient.
Information such as patient details, prescribed splint type, duration of use, and any special instructions must be reported on splint rx - aoa.
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