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Henry Ford Health System 6777 W. Maple Rd., West Bloomfield, MI 48322 2825 Liverpool, Troy, MI 48083 pH: 2486616473 www.ericmakhnimd.com PHYSICAL THERAPY PROTOCOL/PRESCRIPTION: PROXIMAL HAMSTRING
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How to fill out physical formrapy protocolprescription proximal

How to fill out physical formrapy protocolprescription proximal
01
To fill out a physical therapy protocol prescription for proximal injuries, follow these steps:
02
Start by obtaining the physical therapy protocol prescription form from the relevant healthcare facility or your healthcare provider.
03
Fill out the patient's personal details, including their name, date of birth, contact information, and any relevant medical history.
04
Specify the proximal injury for which the physical therapy is being prescribed. Provide a clear description of the injury, including the affected body part or joint.
05
Indicate any restrictions or limitations on the physical therapy treatment, if applicable. This could include weight-bearing restrictions, immobilization requirements, or specific exercises to avoid.
06
Clearly outline the goals and objectives of the physical therapy treatment. This may include pain management, restoring range of motion, or improving strength and stability.
07
Provide any specific instructions for the physical therapist regarding treatment modalities, techniques, or equipment to be used during the therapy sessions.
08
Sign and date the prescription form, ensuring that it is done by the prescribing healthcare provider.
09
Make a copy of the completed form for your records and submit the original to the physical therapy clinic or healthcare facility as instructed.
10
Follow up with the physical therapist to ensure that the prescribed protocol is being implemented effectively and to make any necessary adjustments as needed.
11
It is recommended to consult with a healthcare professional or physical therapist for any specific instructions or requirements related to filling out the form.
Who needs physical formrapy protocolprescription proximal?
01
Physical therapy protocol prescriptions for proximal injuries are typically needed by individuals who have sustained injuries or conditions affecting the proximal body regions. This may include individuals with proximal joint sprains or strains, muscle tears, tendonitis, bursitis, fractures, dislocations, or post-operative rehabilitation needs. The prescription helps guide the physical therapy treatment plan and ensures that the appropriate exercises, modalities, and techniques are used to promote healing, restore function, and prevent further injury. The specific need for a physical therapy protocol prescription should be assessed and determined by a healthcare professional or medical provider based on an individual's injury or condition.
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