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This document serves as a prescription for a patient's physical therapy evaluation and treatment, emphasizing the role of the IEP team in determining the need for services within the educational environment.
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How to fill out Physical Therapy Prescription for Evaluation and/or Treatment

01
Obtain a Physical Therapy Prescription form from your healthcare provider.
02
Fill in the patient's personal information: name, date of birth, and contact information.
03
Specify the referring physician's name and contact details.
04
Indicate the diagnosis or medical condition needing evaluation and/or treatment.
05
Select the type of therapy required: evaluation, treatment, or both.
06
Write down any specific instructions or recommendations from the physician.
07
Sign and date the prescription to validate it.
08
Provide the patient with the completed prescription for their physical therapy appointment.

Who needs Physical Therapy Prescription for Evaluation and/or Treatment?

01
Individuals recovering from surgery.
02
Patients with chronic pain or injuries.
03
People with mobility challenges or disabilities.
04
Athletes needing rehabilitation after sports injuries.
05
Those who have been referred by a physician for specific therapeutic interventions.
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Physical therapy evaluation and treatments are a proactive approach to address pain, prevent injuries, and optimize your body's performance.
Before Your Visit Make a list of any questions you have and want to ask your physical therapist. Write down any symptoms you've been having and for how long. Write down key information about your medical history, even if it seems unrelated. Ask a family member or trusted friend to go with you to your appointment.
A physical therapy evaluation is the foundation for diagnosing, treating, and monitoring a patient's musculoskeletal and functional conditions.
This means that before prescribing can be deemed a suitable addition to a physiotherapist's skill set, they must already be an expert in the field they wish to apply it. As a consequence, although the scope of prescribing within physiotherapy is very wide, it is limited to only an individual's clinical speciality.
The first step in your physical therapy journey is the evaluation, where you meet your therapist for the first time. During this session, you can express your goals and desires for your treatment - your therapist should make sure you are seen and heard.
This comprehensive session, typically lasting about an hour, is designed to assess your condition thoroughly and create a personalized treatment plan. During this visit, you'll meet with a licensed physical therapist who will review your medical history, evaluate your current condition, and perform various assessments.

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A Physical Therapy Prescription for Evaluation and/or Treatment is a formal document that authorizes a licensed physical therapist to evaluate and treat a patient's physical impairments, functional limitations, or disabilities.
Typically, healthcare providers such as physicians, physician assistants, or nurse practitioners are required to file a Physical Therapy Prescription for Evaluation and/or Treatment.
To fill out the prescription, the healthcare provider should include the patient's information, the specific evaluations or treatments recommended, the duration of treatment, and any relevant medical history or conditions.
The purpose of the Physical Therapy Prescription is to ensure that physical therapy services are medically necessary and are provided in a structured manner to facilitate rehabilitation and recovery.
The prescription must report the patient's name, date of birth, relevant medical history, specific physical therapy diagnosis, recommended treatments, duration and frequency of therapy sessions, and the signature of the prescribing provider.
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