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PROGRESSIVE PHYSICAL THERAPY AND REHABILITATION 129 W. Wilson St., Suite 202 Costa Mesa, CA 92627 Tel: 949.631.0125 Fax: 949.631.012712665 Garden Grove Blvd., #603 Garden Grove, CA 92843 Tel: 714.643.9012
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To fill out a progressive physical therapy form, follow these steps: 1. Start by entering your personal information, such as your full name, date of birth, and contact details.
02
Provide information about your health insurance coverage, including the name of your insurance company, policy number, and contact information.
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Next, indicate the reason for seeking physical therapy by describing your symptoms or diagnosis.
04
Specify the date of your first visit and any previous treatments or surgeries related to your condition.
05
Provide details about your medical history, including current medications, allergies, and any relevant medical conditions.
06
Answer questions regarding your mobility, strength, and function, as well as your pain levels and limitations.
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You may be asked to rate your pain on a scale from 0 to 10, with 0 being no pain and 10 being the worst pain imaginable.
08
Be honest and thorough when describing your symptoms or limitations, as this will help the physical therapist develop an effective treatment plan.
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Review your completed form for accuracy and completeness before submitting it to the physical therapy clinic.
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If you have any questions or need assistance, don't hesitate to ask the clinic staff for guidance.

Who needs progressive physical formrapy and?

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Progressive physical therapy is beneficial for individuals who require rehabilitation or treatment for various conditions, including but not limited to:
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- Post-surgical recovery
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- Sports injuries
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- Joint pain or stiffness
05
- Fractures or broken bones
06
- Chronic pain conditions
07
- Neurological disorders
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- Balance and coordination issues
09
If you are experiencing any of these conditions or have been advised by a healthcare professional to seek physical therapy, you may benefit from progressive physical therapy.
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Progressive physical therapy is a type of rehabilitation program that focuses on gradually increasing the intensity and complexity of exercises to help a person regain strength, flexibility, and mobility after an injury or surgery.
Progressive physical therapy is typically prescribed by a doctor or physical therapist for individuals who have suffered from an injury, surgery, or medical condition that affects their physical function.
Progressive physical therapy is administered by trained physical therapists who will create a customized treatment plan based on the individual's specific needs and goals.
The purpose of progressive physical therapy is to help individuals improve their physical function, reduce pain, and prevent further injuries.
Information reported on a progressive physical therapy form may include the patient's medical history, current symptoms, treatment goals, and progress made during the therapy sessions.
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