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Referral for Physical Therapy/Occupational TherapyPatient Name: Medical Diagnosis: Other Diagnoses: Signed: Date: Medical Practitioner Number: Free Student Run PT/OT Clinic (first come, first served)
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How to fill out location departmentofphysicalformrapyclinicallearningcenter
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Start by obtaining the physical form from the Clinical Learning Center.
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Anyone who wishes to participate in activities or programs at the Department of Physical Education at the Clinical Learning Center.
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Individuals who are planning to attend classes, workshops, or events at the department that may involve physical exertion or exercise.
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What is location departmentofphysicalformrapyclinicallearningcenter?
The location departmentofphysicalformrapyclinicallearningcenter is the physical address of the clinical learning center where physical therapy forms are processed.
Who is required to file location departmentofphysicalformrapyclinicallearningcenter?
The clinical learning center staff is required to file the location departmentofphysicalformrapyclinicallearningcenter.
How to fill out location departmentofphysicalformrapyclinicallearningcenter?
To fill out the location departmentofphysicalformrapyclinicallearningcenter, one must provide the physical address of the clinical learning center.
What is the purpose of location departmentofphysicalformrapyclinicallearningcenter?
The purpose of the location departmentofphysicalformrapyclinicallearningcenter is to provide a specific address for processing physical therapy forms.
What information must be reported on location departmentofphysicalformrapyclinicallearningcenter?
Only the physical address of the clinical learning center must be reported on the location departmentofphysicalformrapyclinicallearningcenter.
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