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Henry Ford Health System 6777 W. Maple Rd., West Bloomfield, MI 48322 2825 Liverpool, Troy, MI 48083 pH: 2486617029 www.ericmakhnimd.com PHYSICAL THERAPY PROTOCOL/PRESCRIPTION: SLAP Repair Name: Diagnosis:
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How to fill out physical formrapy protocolprescription slap
How to fill out physical formrapy protocolprescription slap
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To fill out a physical therapy protocol prescription slap, follow these steps:
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Begin by providing your personal information at the top of the form, such as your name and contact details.
03
Fill in the patient's information, including their name, address, and date of birth.
04
Specify the date on which the prescription is being written.
05
Indicate the diagnosis or reason for physical therapy treatment.
06
Provide details about the recommended physical therapy interventions, such as specific exercises, modalities, or techniques to be used.
07
Mention the frequency and duration of the physical therapy sessions.
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Include any special instructions or precautions for the patient or therapist.
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Sign and date the prescription at the bottom of the form.
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Make sure to provide a copy of the completed prescription to the patient and keep a copy for your records.
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Physical therapy protocol prescription slap is needed by healthcare professionals or practitioners who are prescribing physical therapy treatment for their patients.
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This form is typically used by doctors, physiotherapists, or orthopedic specialists, among others, to outline the recommended physical therapy interventions and protocols for their patients.
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It helps ensure that the patient receives the appropriate and necessary physical therapy treatments to aid in their recovery or rehabilitation.
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What is physical therapy protocol/prescription slip?
Physical therapy protocol/prescription slip is a document that outlines the specific treatment plan prescribed by a healthcare provider for a patient to receive physical therapy services.
Who is required to file physical therapy protocol/prescription slip?
Healthcare providers such as doctors, nurse practitioners, or physician assistants are required to fill out and file physical therapy protocol/prescription slips for their patients.
How to fill out physical therapy protocol/prescription slip?
To fill out a physical therapy protocol/prescription slip, healthcare providers need to include the patient's personal information, diagnosis, treatment plan, frequency and duration of therapy, and any special instructions.
What is the purpose of physical therapy protocol/prescription slip?
The purpose of the physical therapy protocol/prescription slip is to provide a clear and detailed plan of care for the patient receiving physical therapy services.
What information must be reported on physical therapy protocol/prescription slip?
The physical therapy protocol/prescription slip must include the patient's name, date of birth, diagnosis, treatment plan, frequency and duration of therapy, healthcare provider's signature, and any special instructions.
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