Get the free Intake Packet - Makovicka Physical Therapy

How to fill out intake packet - makovicka

Point by point, here is how to fill out the intake packet at Makovicka:

1. Start by downloading the intake packet from the Makovicka website or pick up a physical copy from one of their locations.
2. Begin filling out the personal information section by providing your full name, address, phone number, and email address.
3. Next, provide your date of birth, gender, and social security number for identification purposes.
4. Fill in your insurance information, including the name of your insurance company, policy number, and any other relevant details.
5. If you have any pre-existing medical conditions or allergies, make sure to list them in the appropriate section.
6. Answer all the questions regarding your medical history, including previous surgeries, medications you are taking, and any chronic illnesses or injuries.
7. Sign and date the consent forms included in the packet, giving Makovicka permission to treat you and release your medical information to insurance companies if necessary.
8. After completing the intake packet, return it to Makovicka either in person or by mail.
9. The intake packet is typically required for new patients, as well as existing patients who haven't visited Makovicka for an extended period of time.

Who needs the intake packet - Makovicka?

The intake packet at Makovicka is necessary for both new patients and existing patients who haven't visited the clinic for an extended period.

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What is intake packet - makovicka?

The intake packet - makovicka is a set of forms and documents that need to be completed by patients before their first appointment at Makovicka Physical Therapy.

Who is required to file intake packet - makovicka?

All new patients at Makovicka Physical Therapy are required to file an intake packet.

How to fill out intake packet - makovicka?

Patients can fill out the intake packet either online through the patient portal or by printing the forms and completing them manually.

What is the purpose of intake packet - makovicka?

The purpose of the intake packet is to gather important information about the patient's medical history, insurance coverage, and personal details.

What information must be reported on intake packet - makovicka?

The intake packet typically includes sections for personal information, medical history, insurance details, and consent forms.