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LAKEHURST PHYSICAL THERAPY CLINIC, LLC 9828 E Burnside Street Suite 250 Portland, OR 97216 Phone (503)2543424 Registration Form New Patient Return Patient Name Social Security # DOB / / Last First
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How to fill out laurelhurst physical formrapy clinic

How to fill out laurelhurst physical formrapy clinic
01
Start by obtaining the physical therapy form from the reception desk at Laurelhurst Physical Therapy Clinic.
02
Fill out your personal information such as your full name, date of birth, address, and contact details in the designated fields of the form.
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Provide your medical history, including any previous injuries or surgeries, current medications, and any relevant medical conditions.
04
Specify the reason for seeking physical therapy at Laurelhurst Physical Therapy Clinic.
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Include the details of your insurance coverage, if applicable.
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Sign and date the form to certify the accuracy of the provided information.
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Make sure to legibly complete all required sections of the form.
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Double-check the form for any errors or omissions before submitting it to the reception desk.
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If you have any questions or need assistance, don't hesitate to ask the staff at Laurelhurst Physical Therapy Clinic.
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Individuals who are recovering from injuries or surgeries and require rehabilitation.
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What is laurelhurst physical formrapy clinic?
Laurelhurst Physical Therapy Clinic is a healthcare facility that specializes in providing physical therapy services to patients.
Who is required to file laurelhurst physical formrapy clinic?
Patients who receive physical therapy services at the clinic may be required to fill out certain forms related to their treatment.
How to fill out laurelhurst physical formrapy clinic?
Patients can fill out the forms at the clinic itself, or they may be provided with electronic forms to fill out online.
What is the purpose of laurelhurst physical formrapy clinic?
The purpose of Laurelhurst Physical Therapy Clinic is to help patients recover from injuries, manage chronic conditions, and improve their overall physical well-being.
What information must be reported on laurelhurst physical formrapy clinic?
Information such as personal details, medical history, insurance information, and the nature of the patient's injury or condition may need to be reported on the forms.
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