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Somerset Hills Physical Therapy, PC REGISTRATION INFORMATION So that we may process your insurance claims efficiently, please read and complete the following: 1. Injury×Accident related to: ()Work
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How to fill out Somerset Hills Physical Therapy form:

01
Start by gathering all the necessary information and documents for the form, such as your personal identification, contact details, and insurance information.
02
Read the instructions carefully to understand what information is required in each section of the form.
03
Begin by filling out your personal information, including your name, date of birth, address, and phone number.
04
Provide your emergency contact information, including the name, phone number, and relationship of the person to you.
05
If applicable, provide your insurance information, including the insurance company name, policy number, and group number.
06
Review the medical history section of the form and provide accurate and complete information regarding any existing medical conditions, previous injuries, allergies, or surgeries.
07
Fill in any medication you are currently taking, including the name, dosage, and frequency.
08
If you have any specific goals or concerns related to your physical therapy, write them down in the appropriate section of the form.
09
In some cases, you may need to obtain a physician's referral or prescription for physical therapy. If required, ensure that you have this documentation and attach it to the form.
10
Before submitting the form, double-check all the provided information for accuracy and completeness.

Who needs Somerset Hills Physical Therapy?

01
Athletes who have recently been injured or are recovering from sports-related injuries, looking to regain strength and mobility.
02
Individuals with musculoskeletal pain or discomfort, such as back pain, joint pain, or muscle strains, seeking rehabilitation and pain management.
03
Patients recovering from surgery, such as joint replacement surgery, who require physical therapy to regain functional mobility and strength.
04
Individuals with neurological conditions, such as stroke, multiple sclerosis, or Parkinson's disease, who can benefit from physical therapy to improve movement and quality of life.
05
Children or adults with developmental delays or disabilities who may require physical therapy to improve gross motor skills, coordination, or balance.
06
Individuals seeking preventive care to enhance overall physical fitness, improve flexibility, and reduce the risk of future injuries.
Please note that the specific need for Somerset Hills Physical Therapy may vary depending on individual circumstances and medical conditions. It is always recommended to consult with a healthcare professional to determine if physical therapy is suitable for your specific situation.
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Somerset Hills Physical Therapy provides rehabilitation services for individuals recovering from injury or surgery.
Patients who undergo treatment at Somerset Hills Physical Therapy are required to file the necessary forms for insurance purposes.
Patients can fill out the physical therapy forms by providing personal information, medical history, and details of their current treatment plan.
The purpose of Somerset Hills Physical Therapy form is to document the patient's progress and monitor their rehabilitation journey.
Information such as patient's name, date of birth, contact information, insurance details, medical history, treatment plan, and progress notes must be reported on the form.
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