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Life in Balance Physical Therapy & Pilates PATIENT Informational:First Name: Last Name: Chosen Name: Home Address: City: State: Zip Code:MI:Employment Status: EmployedDate of Birth: / / Social Security
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Begin by entering your personal information, including your name, date of birth, and contact details.
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Provide detailed information about your medical history, including any past injuries or surgeries.
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Describe your current symptoms and why you are seeking physical therapy services.
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Include information about any medications you are currently taking.
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Be sure to sign and date the form to authorize the release of your medical information.

Who needs physical formrapy services?

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Individuals who have suffered from an injury and need help with rehabilitation.
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People with chronic pain or limited mobility who can benefit from physical therapy.
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Athletes looking to improve performance and prevent injuries.
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Individuals recovering from surgery who need assistance with regaining strength and function.
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Physical formrapy services involve the use of therapeutic exercises, manual therapy, and modalities to help individuals recover from injuries or improve their physical functioning.
Physical therapists, chiropractors, and other healthcare professionals who provide physical formrapy services are required to file.
Physical formrapy services are typically filled out by documenting the patient's information, assessment findings, treatment plan, and progress notes.
The purpose of physical formrapy services is to help individuals improve their physical functioning, decrease pain, and prevent further injuries.
Information such as patient demographics, treatment goals, interventions performed, and treatment outcomes must be reported on physical formrapy services.
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