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PHYSICAL THERAPY PRESCRIPTION FRANK A. PETRIGLIANO, MD CHIEF DIVISION OF SPORTS MEDICINE HEAD TEAM PHYSICIAN LA KINGS Orthopedic SURGERY AND SPORTS MEDICINE USC DEPARTMENT OF Orthopedic SURGERY 323.442.5822

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How to fill out acl pre-operative physical formrapydocx

01

Obtain the ACL pre-operative physical formrapydocx from the healthcare provider or hospital.

02

Fill out the patient's personal information such as name, date of birth, and contact information.

03

Provide the details of the patient's medical history, including any past surgeries, medical conditions, and medications.

04

Document any allergies or reactions to medications.

05

Include information about the specific ACL injury and any symptoms experienced.

06

Provide details of any other medical issues or concerns that may impact the surgery or recovery.

07

Sign and date the form to certify the accuracy of the information provided.

Who needs acl pre-operative physical formrapydocx?

01

Patients who are scheduled to undergo ACL (anterior cruciate ligament) surgery will need to fill out the pre-operative physical formrapydocx.

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What is acl pre-operative physical formrapydocx?

acl pre-operative physical formrapydocx is a form that must be completed by patients undergoing ACL surgery to provide information about their pre-operative physical condition.

Who is required to file acl pre-operative physical formrapydocx?

Patients scheduled for ACL surgery are required to file acl pre-operative physical formrapydocx.

How to fill out acl pre-operative physical formrapydocx?

acl pre-operative physical formrapydocx can be filled out by the patient with the help of their healthcare provider, who will provide the necessary medical information.

What is the purpose of acl pre-operative physical formrapydocx?

The purpose of acl pre-operative physical formrapydocx is to assess the patient's pre-operative physical condition and identify any potential risks or complications that may arise during surgery.

What information must be reported on acl pre-operative physical formrapydocx?

acl pre-operative physical formrapydocx must include information about the patient's medical history, current medications, allergies, and any previous surgeries.

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