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SPORTS REHABILITATION CONSULTANTS PHYSICAL THERAPY PATIENT INFORMATION Thank you for choosing our office! In order to serve you properly, we need the following information. Please print with ink &
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How to fill out a sports rehabilitation consultant's physical form:

01
Start by carefully reading through the form and familiarizing yourself with the sections and questions it contains.
02
Provide accurate personal information such as your name, date of birth, address, and contact details.
03
Fill in any medical history questions, including previous injuries, surgeries, or any relevant past medical conditions.
04
Answer questions about your current physical activity level, including any sports or exercise you participate in regularly.
05
If applicable, describe any specific goals or objectives you have for your sports rehabilitation.
06
Provide details about any current injuries or conditions that require rehabilitation, including any ongoing symptoms or limitations.
07
Indicate any medications you are currently taking, including dosage and frequency.
08
If required, provide permission for the release of medical information to other healthcare professionals involved in your rehabilitation.
09
Sign and date the form to confirm that all the information provided is accurate and complete.

Who needs sports rehabilitation consultant's physical?

01
Athletes recovering from injuries or surgeries related to sports or exercise.
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Individuals looking to improve their physical performance or prevent injuries in sports or exercise activities.
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People with chronic conditions or disabilities seeking rehabilitation exercises specific to their needs.
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Individuals referred by healthcare professionals such as doctors, physiotherapists, or sports medicine specialists.
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Any person who wants professional guidance and support to safely return to their previous level of physical activity after an injury or surgery.
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