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BODIES IN MOTION PHYSICAL THERAPY MEDICAL HISTORY QUESTIONNAIRE PATIENT NAME: DOB DATE Age Height Weight Occupation: Physical Requirements of Job: Current problem When did your pain start? (or surgery
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How to fill out physical formrapy patient questionnaire

01
Start by reading the instructions carefully to understand the purpose of each section.
02
Provide your personal details such as name, age, gender, and contact information.
03
Mention your medical history including any past injuries, surgeries, or ongoing medical conditions.
04
Describe your current symptoms, the duration of the problem, and any relevant triggers or relieving factors.
05
Answer the specific questions relating to your condition or complaint in a detailed manner.
06
Provide information about your lifestyle, including exercise habits, dietary preferences, and any relevant occupational factors.
07
If applicable, mention any medications or treatments you are currently undergoing.
08
Ensure that you sign and date the form after completing all the necessary sections.
09
Double-check all the information provided for accuracy before submitting the form.
10
If you have any questions or need assistance, don't hesitate to ask the healthcare provider or staff.

Who needs physical formrapy patient questionnaire?

01
Anyone who is seeking physical therapy services needs to fill out the physical therapy patient questionnaire.
02
This includes individuals with acute or chronic musculoskeletal issues, post-operative rehabilitation needs, sports injuries, or those requiring general physical therapy services.
03
The questionnaire helps the physical therapist gather essential information about the patient's medical history, current condition, and goals.
04
This information is crucial for developing an effective treatment plan and ensuring patient safety during the therapy sessions.
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Physical therapy patient questionnaire is a form that collects information about a patient's medical history, symptoms, and goals for physical therapy treatment.
Physical therapy patients are required to fill out the physical therapy patient questionnaire before starting treatment.
Patients can fill out the physical therapy patient questionnaire by providing accurate and detailed information about their medical history, current symptoms, and treatment goals.
The purpose of the physical therapy patient questionnaire is to help physical therapists assess the patient's condition, develop an appropriate treatment plan, and track progress during therapy.
The physical therapy patient questionnaire should include information about the patient's medical history, current symptoms, previous treatments, and goals for physical therapy.
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