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Beyond Basics Physical Therapy, LLC Financial Policy Patients Name DOB / / Address AETNA×UHC (please circle one) OTHER (please specify) Medicare Self We are dedicated to providing the best possible
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How to fill out beyond basics physical therapy:

01
Start by entering your personal information, including your full name, date of birth, and contact information.
02
Next, provide your insurance information, including the name of your insurance provider and your policy or group number.
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Indicate any medical conditions or injuries that you currently have or have had in the past. Be as specific as possible and provide any relevant details.
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Specify any medications you are currently taking, including the name, dosage, and frequency of each medication.
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Provide a detailed medical history, including any surgeries or medical procedures you have undergone, as well as any allergies you may have.
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Describe your current symptoms or reasons for seeking beyond basics physical therapy. Explain any pain, discomfort, or limitations you are experiencing.
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If applicable, provide information on any previous physical therapy or rehabilitation you have received.
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Answer any additional questions on the form, such as your preferred method of contact or any goals you have for your physical therapy treatment.
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Finally, review the form for accuracy and completeness before submitting it to the beyond basics physical therapy clinic.

Who needs beyond basics physical therapy:

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Individuals who have suffered from musculoskeletal injuries, such as sprains, strains, or fractures, may require beyond basics physical therapy.
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People recovering from surgery, such as joint replacements or spinal procedures, may benefit from beyond basics physical therapy to regain strength and mobility.
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Individuals with chronic pain conditions, such as arthritis or fibromyalgia, may find relief and improved function through beyond basics physical therapy.
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Athletes who wish to enhance their performance or prevent injuries may seek beyond basics physical therapy for specialized training and exercises.
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Individuals with neurological conditions, such as stroke or multiple sclerosis, may require beyond basics physical therapy to improve their balance, coordination, and overall functional abilities.
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People with age-related conditions, such as osteoporosis or balance disorders, can benefit from beyond basics physical therapy to maintain their independence and prevent falls.
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Anyone experiencing pain, limited mobility, or difficulty performing daily activities due to a musculoskeletal or neuromuscular issue may benefit from beyond basics physical therapy.
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Beyond basics physical formrapy refers to advanced physical therapy techniques and treatments that go beyond the standard protocols.
Physical therapists who are trained and certified in advanced techniques are required to file beyond basics physical formrapy.
Beyond basics physical formrapy can be filled out by providing detailed information about the advanced techniques used in physical therapy treatments.
The purpose of beyond basics physical formrapy is to ensure that patients receive the most effective and advanced physical therapy treatments available.
Beyond basics physical formrapy must include details about the specific advanced techniques used, the efficacy of these techniques, and any improvements in patient outcomes.
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