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THERAPY AND BALANCE CENTERS 2200 W. Sims Way, Suite 101 Port Townsend, WA 98368 Phone: 3603851035 Fax: 3603854395 Patient Information Last Name: ___ First Name: ___ Middle Initial: ___ Email: ___
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01
Start by filling out your personal information such as name, date of birth, and contact information on the form.
02
Next, provide details about your medical history and any pre-existing conditions you may have.
03
Make sure to accurately list any medications you are currently taking, including dosage and frequency.
04
Complete the section on your insurance information, including your policy number and any relevant details.
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Finally, sign and date the form to acknowledge that all information provided is accurate and up to date.

Who needs fyzical formrapy and balance?

01
Individuals who are seeking physical therapy services to improve their balance and overall physical well-being.
02
Patients recovering from injuries or surgeries that have affected their mobility and stability.
03
Athletes looking to enhance their performance and prevent injuries through specialized balance training.
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Fyzical therapy and balance is a type of physical therapy that focuses on improving balance and preventing falls.
Patients who are undergoing physical therapy to improve balance or address specific balance issues are required to file fyzical formrapy and balance.
Fyzical formrapy and balance should be filled out by the patient with assistance from their physical therapist. The form typically includes information about the patient's medical history, current balance issues, and treatment plan.
The purpose of fyzical formrapy and balance is to track a patient's progress in physical therapy, specifically related to balance improvement.
Information such as the patient's medical history, current balance issues, treatment plan, and progress made during physical therapy must be reported on fyzical formrapy and balance.
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