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The Physios Device Prescription & Order Form (Fax to: 3049150700) Submitted by:___ Territory Manager/Distributor Rep:___ACE med Solutions LLC___ Distributorship/ATM: ___Model #3202MModel #3303MModel
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How to fill out the physio-stim device prescription

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How to fill out the physio-stim device prescription

01
Begin by obtaining the patient's medical history and diagnosis that requires the use of the physio-stim device.
02
Consult with the patient's healthcare provider to determine the appropriate settings and duration for the physio-stim device therapy.
03
Fill out the prescription form with the patient's personal information, diagnosis, recommended treatment plan, and any specific instructions for device use.
04
Provide the patient with a copy of the prescription and instructions for obtaining the physio-stim device.
05
Schedule a follow-up appointment to monitor the patient's progress and adjust the treatment plan as needed.

Who needs the physio-stim device prescription?

01
Patients who have been diagnosed with certain musculoskeletal conditions or injuries that could benefit from the use of a physio-stim device prescription.
02
Medical professionals who are trained to assess and recommend the use of physio-stim devices for their patients.
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The physio-stim device prescription is a document ordered by a healthcare provider for the use of a physio-stim device in a patient's treatment plan.
Healthcare providers such as doctors, physical therapists, or chiropractors are required to file the physio-stim device prescription.
The physio-stim device prescription should be filled out by the healthcare provider with the necessary information including patient details, treatment plan, and device specifications.
The purpose of the physio-stim device prescription is to authorize the use of the device in a patient's treatment plan and ensure proper documentation of the treatment.
The physio-stim device prescription must include patient details, medical history, device specifications, treatment plan, and healthcare provider's signature.
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