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DOCTOR OF PHYSICAL THERAPY APPLICATION
For Current or Former Marquette Students Only
PART I
INSTRUCTIONS
Please print or type all information. Missing information will delay processing of your application.
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How to fill out doctor of physical formrapy

How to fill out doctor of physical formrapy
01
Obtain a doctor of physical therapy form from the appropriate source. This could be from your doctor's office, physical therapy clinic, or a specialized physical therapy association.
02
Fill in your personal information at the top of the form. This typically includes your name, date of birth, address, and contact information.
03
Provide your medical history by answering questions about your past and current health conditions, previous treatments, surgeries, and medications.
04
Describe the reason for seeking physical therapy. Be specific about the symptoms or issues you are experiencing that require treatment.
05
Fill in any additional sections that may be present on the form, such as insurance information, emergency contacts, or consent for treatment.
06
Review the completed form for accuracy and completeness. Make sure all necessary information has been provided.
07
Sign and date the form to indicate your consent and acknowledgement of the information provided.
08
Return the completed form to the designated recipient, whether it's your healthcare provider or the physical therapy clinic.
Who needs doctor of physical formrapy?
01
Anyone who requires physical therapy services may need to fill out a doctor of physical therapy form. This can include individuals recovering from surgery, dealing with chronic pain or injuries, or seeking rehabilitation for various medical conditions.
02
Additionally, athletes looking for specialized athletic training or people wanting to improve their physical performance may also need to complete this form.
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