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Enrollment Center 1600 E. Golf Rd., Des Plaines, IL 60016, 847-635-1700, Fax 847-635-1706 2013 Physical Therapist Assistant Program Applicant Facility Observation Name of Applicant LAST (FAMILY) FIRST

How to fill out 2013 physical formrapist assistant

How to Fill Out 2013 Physical Formrapist Assistant:

1. Start by gathering all the necessary information and documents required for filling out the form. This may include personal information such as your name, date of birth, contact details, and social security number.
2. Carefully read and understand the instructions provided on the form. Ensure that you have a clear understanding of what each section requires and any specific guidelines or requirements mentioned.
3. Begin filling out the form by entering your personal information in the designated fields. This may include your full name, address, phone number, and email address. Double-check the accuracy of the information before moving on to the next section.
4. Proceed to provide details about your medical history and previous health conditions, if any. This may include information about any allergies, chronic diseases, surgeries, medications you are currently taking, and any other relevant medical information.
5. In the next section, include information about your emergency contacts. Provide the names, phone numbers, and relationships of at least two individuals who can be contacted in case of an emergency.
6. If applicable, indicate whether you have any health insurance coverage or not. Include information about your insurance provider, policy number, and any other necessary details.
7. If the form requires any signatures, make sure to sign and date the document in the appropriate spaces. Remember to also provide any additional documentation or attachments that may be required, such as copies of identification or medical records.

Who needs 2013 Physical Formrapist Assistant?

1. Individuals who are applying for or seeking employment as a physical therapist assistant may need to fill out the 2013 Physical Formrapist Assistant. This form is often required as part of the application process to ensure that the applicant meets the necessary health and medical requirements for the role.
2. Patients or individuals receiving physical therapy treatment may also be required to fill out this form. It allows the physical therapist to gather important medical and health information about the patient, ensuring that the treatment plan is tailored to their specific needs and conditions.
3. Other healthcare professionals, such as doctors or nurses, who are involved in the care or treatment of patients who require physical therapy may also need access to the information provided through the 2013 Physical Formrapist Assistant. This allows them to have a comprehensive understanding of the patient's medical history and any specific considerations required during the treatment process.

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