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What com Community Physical Therapy, LLC Medical Screening Intake Questionnaire Patients Name: Chief Complaint or Medical Diagnosis: Date of Injury or onset of symptoms: Have you received Medical
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01
Obtain a copy of the Whatcom Community Physical Therapy form.
02
Start by providing your personal information such as your name, address, date of birth, and contact information.
03
Fill in the medical history section, mentioning any current or past medical conditions, surgeries, or injuries.
04
Proceed to fill out the section about your current medications, including prescribed medications, over-the-counter drugs, and herbal supplements.
05
Provide any relevant information about your allergies or adverse reactions to medications.
06
Specify if you have any specific goals or limitations that you want the physical therapist to consider during your treatment.
07
Sign and date the form to indicate your consent and agreement to the information provided.
08
Make sure to review the completed form for any errors or missing information before submitting it.

Who needs whatcom community physical formrapy?

01
Anyone who requires physical therapy services from Whatcom Community Physical Therapy
02
Individuals recovering from injuries, surgeries, or medical conditions
03
Athletes seeking rehabilitation for sports-related injuries
04
People with chronic pain or mobility issues
05
Individuals with orthopedic problems or musculoskeletal disorders
06
Those in need of post-operative rehabilitation
07
Individuals with neurological conditions
08
Patients referred by healthcare professionals for physical therapy
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Whatcom Community Physical Therapy is a local physical therapy clinic that provides a range of rehabilitative services.
Patients who receive treatment at Whatcom Community Physical Therapy are required to fill out the necessary forms.
Patients can fill out the Whatcom Community Physical Therapy forms by providing accurate information about their medical history and current condition.
The purpose of Whatcom Community Physical Therapy forms is to gather important information about the patient's health in order to provide appropriate treatment.
Patients must report their medical history, current symptoms, and any previous treatments they have received.
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