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PROCURE PHYSICAL THERAPY PHYSICIAN REFERRAL FORM Phone: 2562842430 Fax: 2562484363Email: procare722@gmail.com Web: www.procaretherapyinc.comPhysical Therapy services are indicated for the following
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01
Obtain a copy of the Procare physical therapy form.
02
Fill out personal information such as name, address, phone number, and emergency contact.
03
Provide information about your medical history, including any pre-existing conditions or past injuries.
04
Indicate the reason for seeking physical therapy services and any specific areas of pain or concern.
05
Complete any additional sections related to insurance information or payment preferences.
06
Review the form for accuracy and completeness before submitting it to the physical therapy clinic.

Who needs procare physical formrapy?

01
Individuals who are experiencing pain or limited mobility due to injury, surgery, or medical conditions may benefit from Procare physical therapy services.
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Procare Physical Therapy is a type of therapy that focuses on rehabilitating patients who have suffered injuries to their musculoskeletal system.
Patients who have been prescribed procare physical therapy by their healthcare provider are required to file it.
To fill out procare physical therapy, patients need to provide their personal information, medical history, and details of their injury.
The purpose of procare physical therapy is to help patients recover from injuries, improve their mobility, and reduce pain.
Information such as patient's name, contact information, insurance details, medical history, and treatment plan must be reported on procare physical therapy.
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