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Durham Pelvic Health Physiotherapy Fax Referral: 2892783168 Name: ___Date: ___Phone #: ___DOB: ___Reason for Referral: Urinary / Fecal Incontinence Urinary Frequency and Urgency Pelvic Organ Prolapse
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Start by gathering all necessary information such as personal details, medical history, and insurance information.
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Fill out the patient information section with accurate details.
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Who needs durham pelvic physioformrapy health?

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Individuals experiencing pelvic health issues such as urinary incontinence, pelvic pain, postpartum recovery, and pelvic floor dysfunction.
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Those seeking professional guidance and treatment for pelvic floor rehabilitation and improving core strength.
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Durham pelvic physiotherapy health focuses on treating pelvic issues such as urinary incontinence, pelvic pain, and postpartum rehabilitation.
Patients who are seeking treatment for pelvic issues are required to provide information for durham pelvic physiotherapy health.
To fill out durham pelvic physiotherapy health forms, patients need to provide accurate information about their medical history and current symptoms.
The purpose of durham pelvic physiotherapy health is to help patients improve their pelvic health and quality of life through individualized treatment plans.
Information such as medical history, current symptoms, and any previous treatments related to pelvic issues must be reported on durham pelvic physiotherapy health forms.
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