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Moab Physical Therapy and Rehabilitation83 E Center St. Moab, Utah 84532 Phone: 4352101985PERSONAL INFORMATION PLEASE COMPLETE ALL SECTIONS Full Legal Namesake Photocell PhoneAddressCityZip Voicemail
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Gather all necessary information such as medical history, current medications, and any specific conditions requiring therapy.
02
Complete the patient information section including name, contact information, date of birth, and insurance details if applicable.
03
Specify the reason for seeking physical therapy services and indicate any goals or expectations for the treatment.
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Provide a detailed description of any injuries, limitations, or areas of pain that require attention.
05
Sign and date the form to confirm accuracy and consent to receive physical therapy services.

Who needs physical formrapy services?

01
Individuals recovering from injuries or surgeries
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People with chronic pain or mobility issues
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Athletes looking to improve performance and prevent injuries
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Anyone seeking rehabilitation or assistance with movement and function
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Physical therapy services involve the use of physical exercises and modalities to help individuals restore function, improve mobility, relieve pain, and prevent disability.
Physical therapy services are typically provided by licensed physical therapists or physical therapy assistants.
Physical therapy services can be filled out by documenting the patient's condition, treatment plan, progress notes, and goals.
The purpose of physical therapy services is to help individuals regain physical function, mobility, and quality of life.
Information that must be reported on physical therapy services includes the patient's medical history, assessment findings, treatment interventions, and progress.
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