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WELCOME TO SHEA PHYSICAL THERAPY Patient Name:Today's Date:A.K. Address:City/State/Zip:Home Phone: ()Cell Phone: ()Email Address: Social Security Number: Male / FemaleMarried / Single / WidowedEmployer:Date
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How to fill out welcome to shea physical
01
Start by entering your personal information such as your name, date of birth, and contact details.
02
Provide your medical history including any previous illnesses, surgeries, or allergies.
03
Answer questions about your current medications, including dosage and frequency.
04
Describe any specific concerns or symptoms you may be experiencing.
05
Indicate your preferred method of communication and any accommodations you may require.
06
Review and sign any consent forms or privacy policies as necessary.
07
Double-check all the information you have provided for accuracy before submitting the form.
08
If you have any questions or need assistance, feel free to reach out to the staff at Shea Physical.
Who needs welcome to shea physical?
01
Anyone who is visiting Shea Physical for the first time needs to fill out the welcome form.
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What is welcome to shea physical?
Welcome to Shea Physical is a form that new employees must fill out to provide their personal and medical information before starting work.
Who is required to file welcome to shea physical?
All new employees at Shea Physical are required to file the form before starting work.
How to fill out welcome to shea physical?
Employees can fill out the Welcome to Shea Physical form by providing accurate personal and medical information on the designated sections of the form.
What is the purpose of welcome to shea physical?
The purpose of Welcome to Shea Physical is to ensure that new employees provide essential personal and medical information that may impact their ability to perform their job safely.
What information must be reported on welcome to shea physical?
The form requires employees to report personal information such as name, contact details, and emergency contacts, as well as medical information including allergies, medical conditions, and current medications.
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