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NURTURING, PHYSICAL THERAPY ASSISTANT, MEDICAL LABORATORY TECHNOLOGY MEDICAL ASSISTING FAX # 9786309528 C/o Diane King, R.N., B.S.IMMUNIZATION FORM Please return to: Health Services MWC.mass.personal
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Obtain a nursing physical therapy assistant form from your healthcare provider or the facility where you will be working.
02
Read the instructions on the form carefully to understand what information is required.
03
Fill out personal details such as your name, date of birth, contact information, and social security number.
04
Provide information about your educational background, including the name of the school or institution you attended, the dates of attendance, and any degrees or certifications earned.
05
Fill out your employment history, listing any previous healthcare or nursing-related jobs you have held, including the facility name, job title, dates of employment, and supervisor's contact information.
06
Complete the sections related to your medical history, including any past illnesses, surgeries, or chronic conditions you may have.
07
Provide information about your immunization history, including the dates and types of vaccines or shots you have received.
08
If applicable, complete the section on drug or alcohol abuse history, ensuring to provide accurate and honest information.
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If required, have a healthcare professional sign and date the form to verify your physical fitness for the nursing physical therapy assistant role.
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Review the completed form for accuracy and completeness before submitting it to the appropriate party.

Who needs nursing physical formrapy assistant?

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Individuals who require nursing physical therapy assistant include:
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- Patients recovering from surgery or injury and in need of physical therapy
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- Elderly individuals who require assistance with daily activities and exercise routines
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- Individuals with chronic conditions or illnesses such as arthritis, multiple sclerosis, or Parkinson's disease
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- Athletes recovering from sports-related injuries
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- Individuals with mobility issues due to accidents or disabilities
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- Individuals in long-term care facilities or rehabilitation centers
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Nursing physical therapy assistant is a healthcare professional who works under the supervision of physical therapists to provide rehabilitation services to patients.
Nursing physical therapy assistants are required to file their reports with their supervising physical therapists.
Nursing physical therapy assistants must carefully document the patient's progress, the treatments provided, and any other relevant information.
The purpose of nursing physical therapy assistant is to assist patients in their rehabilitation process and help them regain mobility and function.
Information such as patient demographics, treatment modalities used, progress notes, and any relevant communication with other healthcare providers.
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