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Physical and Occupational Therapy Referral Phone: 7135210020 or 1.888.301.8477 Fax: 713.874.1798 or 1.888.504.8477 memorialhermann.org Date: Patient Name: Phone: Diagnosis: ICD 10 Code: Date of Injury:
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How to fill out physical and occupational formrapy

01
Begin by gathering all necessary information and documents, such as medical history, insurance information, and any previous therapy records.
02
Schedule an appointment with a physical or occupational therapist.
03
Arrive at the appointment on time and be prepared to provide a detailed account of your condition or injury.
04
The therapist will evaluate your condition and conduct a physical examination to assess your strength, flexibility, mobility, and any areas of pain or discomfort.
05
Based on the evaluation, the therapist will create a customized treatment plan tailored to your specific needs and goals.
06
Follow the therapist's instructions and attend all scheduled therapy sessions.
07
During therapy sessions, actively participate in exercises and techniques taught by the therapist.
08
Communicate any changes in your condition or concerns to the therapist so that adjustments can be made to the treatment plan if necessary.
09
Be consistent and committed to the therapy process, as it may take time and effort to achieve desired results.
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Continue practicing exercises and following any recommendations provided by the therapist even after the formal therapy sessions end.

Who needs physical and occupational formrapy?

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Physical and occupational therapy can benefit individuals of various ages and conditions, including but not limited to:
02
- Individuals recovering from surgery or injury
03
- People with chronic pain or conditions affecting their mobility
04
- Individuals with developmental or neurological conditions
05
- Older adults experiencing age-related changes in physical function
06
- Athletes seeking to improve their performance or recover from sports-related injuries
07
- Individuals with work-related injuries or conditions
08
- People with arthritis, back pain, or joint problems
09
- Those seeking pain management techniques and rehabilitation
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Physical therapy focuses on improving a patient's physical function and mobility through exercises, stretches, and manual therapy, while occupational therapy helps individuals develop, recover, or maintain daily living and work skills.
Typically, healthcare providers including physical therapists, occupational therapists, and health facilities that provide these services are required to file claims for reimbursement from insurance companies.
Filling out physical and occupational therapy forms usually involves documenting patient information, treatment plans, progress notes, and billing codes as per the requirements of the payer.
The purpose of physical and occupational therapy is to help patients regain function, relieve pain, and improve their quality of life through rehabilitation.
Required information typically includes patient demographics, diagnosis, treatment provided, progress notes, and any relevant medical history.
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