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PRIMOPerformance & Rehabilitation2525 Walling wood Dr. Bldg 7A Ste 702A Austin, TX 78746 PT 512 228 1411 OT 512 774 0260 info primorehab.com www.primorehab.com FAX 512 382 9639PHYSICAL/OCCUPATIONAL
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How to fill out physicaloccupational formrapy prescription

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To fill out a physical/occupational therapy prescription form, follow these steps:
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Start by writing the patient's name and contact information at the top of the form.
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Next, include the referring physician's name, address, and contact information.
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Specify the diagnosis or reason for referral in the appropriate section.
05
Indicate the type of therapy required (physical therapy or occupational therapy).
06
Provide details about the frequency and duration of the therapy sessions.
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Include any specific treatment goals or objectives for the therapy.
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Mention any additional instructions or precautions.
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Finally, ensure that the form is signed and dated by the referring physician.
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Note: Different physical/occupational therapy prescription forms may have slight variations, so refer to the specific form for any additional sections or instructions.

Who needs physicaloccupational formrapy prescription?

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Individuals who require physical or occupational therapy may need a physical/occupational therapy prescription. This includes individuals who have experienced an injury, undergone surgery, or are dealing with conditions that may affect their physical functioning or mobility. The prescription is typically required to initiate therapy services and is provided by a referring physician or healthcare professional.
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A physical/occupational therapy prescription is a formal document provided by a healthcare provider that authorizes a patient to receive physical or occupational therapy services.
The healthcare providers, such as doctors or nurse practitioners, who recommend therapy services for patients are required to file the prescription.
To fill out a physical/occupational therapy prescription, include the patient's information, diagnosis, recommended therapy type and frequency, and the provider's signature and credentials.
The purpose of a physical/occupational therapy prescription is to ensure that patients receive appropriate therapeutic interventions and services based on their medical needs.
The prescription must report the patient's name, date of birth, diagnosis, recommended therapy type, frequency, duration, and the prescribing provider's details.
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