NC Evoke Physical Therapy and Wellness Center General Intake Form 2017-2025 free printable template
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Evoke Sandra La Bella, PT, CWHCPhysical Therapy and Wellness Center, LLC
2305 E Arapahoe Road, Suite 227
Centennial, CO 80122ph: 303.475.6252×FX: 303.791.2531
Sandra×evokePT.com
www.evokePT.comWelcome
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How to fill out NC Evoke Physical Therapy and Wellness Center
01
Begin by visiting the NC Evoke Physical Therapy and Wellness Center website or obtaining a physical form.
02
Fill in your personal information, including your name, address, phone number, and email.
03
Provide details regarding your medical history, including any current or past injuries.
04
Indicate the reason for seeking therapy, such as pain relief, rehabilitation, or wellness.
05
Complete any specific assessments or questionnaires provided to evaluate your condition.
06
Review the form for accuracy and completeness.
07
Submit the form either online or in person at the NC Evoke Physical Therapy and Wellness Center.
Who needs NC Evoke Physical Therapy and Wellness Center?
01
Individuals recovering from surgery or injuries.
02
People experiencing chronic pain or mobility issues.
03
Athletes looking to improve performance and prevent injuries.
04
Anyone interested in wellness and physical fitness guidance.
05
Patients managing conditions such as arthritis, stroke recovery, or neurological disorders.
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What is NC Evoke Physical Therapy and Wellness Center?
NC Evoke Physical Therapy and Wellness Center is a healthcare facility that provides physical therapy and wellness services aimed at improving patients' physical mobility, overall health, and quality of life.
Who is required to file NC Evoke Physical Therapy and Wellness Center?
Individuals seeking physical therapy services and healthcare practitioners who refer patients for such services are required to file NC Evoke Physical Therapy and Wellness Center.
How to fill out NC Evoke Physical Therapy and Wellness Center?
To fill out NC Evoke Physical Therapy and Wellness Center, patients need to provide personal information, medical history, insurance details, and specific concerns or symptoms related to their condition.
What is the purpose of NC Evoke Physical Therapy and Wellness Center?
The purpose of NC Evoke Physical Therapy and Wellness Center is to help patients recover from injuries, manage pain, and enhance physical function through personalized therapeutic interventions.
What information must be reported on NC Evoke Physical Therapy and Wellness Center?
The information that must be reported includes patient identification details, medical history, treatment goals, and progress notes documenting therapy sessions.
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