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McHenry County College Physical Therapist Assistant Program Documentation of Physical Therapy Clinical Experience Hairspring THIS FORM FRONT TO BACK ON A SINGLE PAGE Provide documentation of a minimum
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01
To fill out the documentation of physical therapy form, follow these steps:
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Start by entering the patient's personal information, such as name, date of birth, and contact details.
03
Include the reason for the physical therapy and any relevant medical history of the patient.
04
Indicate the initial evaluation by documenting the patient's current condition, including pain levels, range of motion, and any functional limitations.
05
Describe the recommended treatment plan, including specific exercises, therapies, or modalities that will be employed.
06
Document any progress or changes observed during subsequent sessions of physical therapy.
07
Include any recommendations or future goals for the patient's rehabilitation process.
08
Ensure the form is signed and dated by both the patient and the physical therapist.
09
Store the completed documentation in a secure and organized manner for future reference and billing purposes.

Who needs documentation of physical formrapy?

01
Documentation of physical therapy is needed by:
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- Physical therapists who provide treatment to patients
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- Medical facilities, such as hospitals, clinics, and rehabilitation centers
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- Insurance companies for claim and reimbursement purposes
05
- Legal entities, in case of potential litigation or legal proceedings
06
- Patients themselves, as a record of their progress and treatment history
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Documentation of physical formrapy is a record of the patient's physical therapy treatment, progress, and outcomes.
Physical therapists are required to file documentation of physical formrapy for each patient.
Documentation of physical formrapy is typically filled out by the physical therapist during or after each treatment session.
The purpose of documentation of physical formrapy is to track the patient's progress, communicate with other healthcare providers, and justify the services provided for insurance billing purposes.
Information such as the patient's medical history, assessment findings, treatment plan, goals, progress notes, and discharge summary must be reported on documentation of physical formrapy.
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