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Beyond Basics Physical Therapy, LLC 110 East 42nd Street Suite 1504 NY, NY 10017 Phone (212) 3542622 Fax (212) 3542752 www.beyondbasicsphysicaltherapy.com Registration Form PAYMENT INFORMATION MasterCard
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To fill out the Beyond Basics Physical Therapy form:
02
Begin by entering your personal information, such as your full name, date of birth, address, and contact details.
03
Provide your insurance details, including the name of your insurance provider and your policy number.
04
Next, you will find sections to indicate your medical history. Fill in details about any past surgeries, injuries, or medical conditions you have had.
05
Describe your current symptoms or concerns that require physical therapy. Be as specific as possible to help the therapist understand your needs.
06
If you are taking any medications, list them along with the dosage and frequency of usage.
07
Indicate any allergies or sensitivities you have to medications or substances.
08
Answer the questions about your lifestyle and activity level. This information will help the therapist assess your physical abilities and potential limitations.
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Finally, sign and date the form to confirm that all the provided information is accurate to the best of your knowledge.

Who needs beyond basics physical formrapy?

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Anyone who requires physical therapy can benefit from Beyond Basics Physical Therapy.
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This may include individuals recovering from injuries or surgeries, those with chronic pain or mobility issues, athletes looking to improve performance, or individuals seeking preventive care and wellness.
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Beyond Basics offers a wide range of specialized services to cater to different needs, such as pelvic health, orthopedics, sports rehabilitation, and more.
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If you are experiencing any physical discomfort, limitations, or simply want to improve your overall well-being, Beyond Basics Physical Therapy could be suitable for you.
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Beyond basics physical formrapy is an advanced level of physical therapy that includes specialized techniques and interventions.
Physical therapists who are seeking to expand their knowledge and skills in the field are required to undertake beyond basics physical formrapy.
Beyond basics physical formrapy can be completed by attending workshops, completing online courses, or participating in hands-on training sessions.
The purpose of beyond basics physical formrapy is to improve patient outcomes by providing advanced care and treatments.
Information such as the techniques learned, hours completed, and certifications obtained must be reported on beyond basics physical formrapy.
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