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(214) 2050156 info@physioreformpt.comParmis Rezai PT, DPT www.physioreformpt.comPatient Information Form Please complete this form in its entirety and bring with you to your scheduled appointment Patient
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01
Begin by entering your personal information such as name, date of birth, address, and contact details.
02
Provide information about your medical history including any previous injuries, surgeries, or medical conditions.
03
Specify the reason for seeking physical therapy and provide details about your current symptoms or limitations.
04
Follow the instructions provided on the form for documenting your range of motion, pain levels, and any other relevant physical assessments.
05
Be thorough and honest in your responses to help your physical therapist create an effective treatment plan.

Who needs physioreform - physical formrapy?

01
Individuals who are experiencing pain or limited mobility due to injuries, surgeries, or medical conditions.
02
Athletes looking to improve their performance or recover from sports-related injuries.
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People recovering from accidents or trauma that have affected their physical abilities.
04
Those suffering from chronic pain or conditions such as arthritis that can benefit from physical therapy interventions.
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Physioreform, also known as physical formrapy, is a form of rehabilitation therapy that focuses on improving physical function and mobility.
Individuals who have undergone physical injuries or surgeries and require rehabilitation may be required to file physioreform - physical formrapy.
Physioreform - physical formrapy can be filled out by providing details of the injury or surgery, current physical condition, and goals for rehabilitation.
The purpose of physioreform - physical formrapy is to help individuals recover from physical injuries or surgeries, improve physical function, and enhance mobility.
Information such as medical history, current physical condition, treatment plan, and progress tracking must be reported on physioreform - physical formrapy.
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