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Occupational Therapy & Sports Rehab., P.L.l.C. Kingston Physical 340 Plaza Road Kingston, NY 12401 Tel: 8453394139 Fax: 8453395730 www.KingstonPT com Name: Employer: Street: Work Phone: I Zip: Family
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Start by carefully reading the instructions provided on the form. Make sure you understand each section and what information is required.
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Begin with the personal information section. Fill in your full name, date of birth, contact details, and any other required details accurately.
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Move on to the medical history section. Provide detailed information about any past or current medical conditions, surgeries, medications, or allergies that could affect your physical or occupational therapy.
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If applicable, complete the insurance information section. Include your insurance provider's name, policy number, and any other relevant details. This will ensure proper billing and coverage for the therapy services.
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Next, provide a detailed description of the reason for seeking physical or occupational therapy. Explain the symptoms or limitations you are experiencing and the goals you hope to achieve through therapy.
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If there are any additional forms or documents required, make sure to attach them securely to the main form. This may include referrals from healthcare providers, test results, or previous therapy reports.
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In summary, anyone seeking to fill out the kingston physical- occupational formrapy should carefully follow the instructions provided and provide accurate and thorough information. This therapy can benefit individuals with various conditions or injuries that affect their physical abilities or quality of life.
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What is kingston physical- occupational formrapy?
Kingston physical- occupational formrapy is a form used to report physical and occupational therapy services provided by practitioners in the Kingston area.
Who is required to file kingston physical- occupational formrapy?
Practitioners who provide physical and occupational therapy services in Kingston are required to file the form.
How to fill out kingston physical- occupational formrapy?
The form can be filled out online or in person, and practitioners are required to provide details about the services they have provided.
What is the purpose of kingston physical- occupational formrapy?
The purpose of the form is to track and monitor physical and occupational therapy services in the Kingston area.
What information must be reported on kingston physical- occupational formrapy?
Practitioners must report details such as patient information, services provided, and dates of service.
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