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Occupational or Physical Therapy Treatment Authorization Fax Request Mail to: L&I Provider Hotline PO Box 44291 Olympia, WA 98504-4291 Phone 800-848-0811 Fax 360-902-6490 Use this form to request
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How to fill out occupational or physical:

01
Start by gathering all the necessary documents and information. This may include medical history, insurance information, and any relevant referrals or prescriptions.
02
Contact the healthcare provider or facility where you will be receiving the occupational or physical services. Schedule an appointment and ask about any specific forms or paperwork that may need to be completed before your visit.
03
Prior to your appointment, carefully review any forms or questionnaires provided. Pay attention to any instructions or specific information that needs to be filled out.
04
Begin by providing your personal information, such as your full name, date of birth, and contact information. Make sure to fill in all the required fields accurately and completely.
05
If applicable, provide your insurance details or any payment-related information. This may include insurance company name, policy number, and authorization details.
06
Next, carefully read through any medical history sections and provide accurate information regarding past illnesses, injuries, or surgeries. Include any relevant details about current medications or treatments.
07
In the case of an occupational evaluation, you may be asked to provide information about your job responsibilities or any specific tasks you are having difficulty with.
08
Follow the instructions provided for any physical assessment forms. This may include documenting your range of motion, strength, flexibility, or any areas of pain or discomfort.
09
If there are any additional sections or forms related to your specific needs or condition, make sure to complete them accordingly.
10
Double-check all the information you have provided before submitting the forms or paperwork. Review for any errors or omissions that may need to be corrected.

Who needs occupational or physical?

01
Individuals recovering from an injury, surgery, or illness often require occupational or physical therapy to aid in their rehabilitative processes.
02
People with chronic conditions, such as arthritis or Parkinson's disease, may benefit from occupational or physical therapy to manage symptoms and improve overall function.
03
Occupational therapy can be beneficial for individuals struggling with daily activities due to physical, mental, or developmental challenges.
04
Athletes or individuals involved in sports may seek physical therapy to enhance performance, prevent injuries, or recover from sports-related injuries.
05
Individuals with work-related injuries or occupational hazards may be referred to occupational therapy for evaluation, treatment, and workplace accommodations.
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Senior citizens experiencing decreased mobility or function may turn to occupational or physical therapy to improve quality of life and independence.
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Children with developmental delays or disabilities might require occupational or physical therapy to enhance their motor skills, sensory processing, and overall development.
08
People suffering from chronic pain, such as back pain or fibromyalgia, may find relief through occupational or physical therapy.
Overall, occupational and physical therapy can benefit a wide range of individuals who require assistance with rehabilitation, improving function, managing chronic conditions, or enhancing overall well-being and independence.
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Occupational or physical refers to evaluations or assessments conducted to determine an individual's ability to perform job duties or physical tasks.
Employees who are required to undergo evaluations as part of their job requirements or individuals seeking physical therapy may need to file occupational or physical reports.
Occupational or physical reports can be filled out by trained professionals such as occupational therapists, physical therapists, or healthcare providers who conduct the evaluations.
The purpose of occupational or physical evaluations is to assess an individual's functional ability, identify any limitations or restrictions, and make recommendations for accommodations or interventions.
Occupational or physical reports typically include details of the evaluation findings, recommended treatments or interventions, potential accommodations or restrictions, and any follow-up recommendations.
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