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Spectrum Medical Martinsville 1075 Spruce Street Martinsville, Virginia 24112 Phone: (276) 7903233 Fax: (276) 7903242Cortney Herndon, DPT, COME Brittany Stall, PTA spectrum med. Nonphysical THERAPY
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How to fill out physical formrapy referral

01
To fill out a physical therapy referral form, follow these steps:
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Start by providing your personal information, including your name, address, and contact number.
03
Fill in the date of the referral and the physician or healthcare provider who is referring you for physical therapy.
04
Indicate the reason for the referral, whether it is for a specific condition or injury that requires rehabilitation.
05
Describe any relevant medical history or previous treatments that the referring physician should be aware of.
06
Specify any limitations or precautions that should be considered during the physical therapy session.
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Include any additional instructions or requests that you have for the physical therapist.
08
Carefully review the completed form for accuracy and make any necessary changes before submitting it.
09
Submit the form to the appropriate healthcare provider or physical therapy clinic as instructed.
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Make sure to follow any specific instructions provided by your healthcare provider or referring physician.

Who needs physical formrapy referral?

01
A physical therapy referral is required for individuals who may benefit from physical therapy services.
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Common individuals who may need a physical therapy referral include:
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- Patients recovering from orthopedic surgeries or injuries
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- Athletes requiring rehabilitation or performance enhancement
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- Individuals with chronic pain or conditions affecting their functional mobility
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- People with neurological conditions like stroke, Parkinson's disease, or multiple sclerosis
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- Post-operative patients in need of rehabilitation
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- Individuals with balance or vestibular disorders
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It's important to consult with a healthcare professional to determine if a physical therapy referral is necessary for your specific situation.
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A physical formrapy referral is a document that a healthcare provider submits to recommend a patient for physical therapy treatment, facilitating the assessment and treatment of their physical condition.
Healthcare providers, such as doctors and specialists, are typically required to file physical formrapy referrals for patients needing physical therapy services.
To fill out a physical formrapy referral, a healthcare provider must complete relevant patient information, including diagnosis, treatment goals, and any specific instructions for the therapist.
The purpose of a physical formrapy referral is to communicate the patient's condition and treatment needs to the physical therapist, ensuring the patient receives appropriate care.
Information that must be reported on a physical formrapy referral includes patient name, date of birth, diagnosis, medical history, treatment goals, and any special considerations for therapy.
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