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Occupational Therapy and Physical Therapy Medical Referral Form Student Name: Date of Birth: School: Physician: Physicians address: Phone: Dr. has my permission to provide the following information
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Body in Balance Physical is a type of physical therapy that focuses on improving strength, flexibility, and overall physical health.
Body in Balance Physical is typically filed by individuals seeking physical therapy services.
To fill out Body in Balance Physical, individuals must complete an intake form with their personal information, medical history, and goals for therapy.
The purpose of Body in Balance Physical is to help individuals improve their physical health and well-being through targeted exercise and therapy.
Information such as current physical condition, past medical history, and treatment goals must be reported on Body in Balance Physical documentation.
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