Get the free NATURE COAST PHYSICAL THERAPY & REHAB

NATURE COAST PHYSICAL THERAPY REHAB 3787 E. Gulf to Lake Hwy. Inverness FL 34453 Phone 352 341-1101 Fax 352 726-7582 3777 N. Lecanto Hwy. Beverly Hills FL 34465 Phone 352 527-3337 Fax 352 527-3389 PATIENT INFORMATION SHEET Today s date Referring Physician Which body part is requiring physical therapy Have you had recent surgery Yes No Have you had home health in the last 30 days Have you had physical therapy this year Is this treatment related to an auto accident If yes when were you...

How to fill out nature coast physical formrapy

How to fill out nature coast physical formrapy

1. Refer to the Nature Coast Physical Therapy website to download the physical therapy form.
2. Carefully read and understand all the instructions mentioned on the form.
3. Fill out personal information such as your name, address, contact details, and date of birth.
4. Provide your medical history, including any existing conditions or past injuries.
5. Indicate the reason for seeking physical therapy and describe any specific goals or areas of concern.
6. If you have any allergies or medications, make sure to mention them.
7. Include information about your insurance coverage, if applicable.
8. Ensure all sections of the form are filled accurately and completely.
9. Review the filled form to make sure you haven't missed any important details.
10. Sign and date the form.
11. Submit the completed form to the Nature Coast Physical Therapy clinic either in person or through the provided mailing address or online submission portal.

Who needs nature coast physical formrapy?

1. Individuals who have suffered physical injuries or are experiencing chronic pain.
2. Patients recovering from surgeries or medical treatments and require rehabilitation.
3. People with mobility limitations or difficulties in performing daily activities.
4. Individuals seeking to improve their athletic performance or prevent injuries.
5. Those who have been referred to physical therapy by their healthcare provider.
6. Anyone looking to enhance their overall physical well-being and quality of life.

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