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Proactive Rehabilitation Patient Information Form (DO NOT USE THIS FORM IF PATIENT IS NOT A MINOR) Patient Information: Legal Name: (Last) (First) SSN: (MI) Date of Birth: Gender: (circle one) Male
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What is proactive rehabilitation?
Proactive rehabilitation is a process of early intervention to prevent potential injuries or illnesses.
Who is required to file proactive rehabilitation?
Employers are required to file proactive rehabilitation for their employees.
How to fill out proactive rehabilitation?
Proactive rehabilitation can be filled out by providing detailed information about the employee's health and potential risks.
What is the purpose of proactive rehabilitation?
The purpose of proactive rehabilitation is to promote employee health and safety in the workplace.
What information must be reported on proactive rehabilitation?
Information such as employee health history, potential risks, and preventive measures must be reported on proactive rehabilitation.
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