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FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT
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To fill out the ATI Physical Therapy Inc form, follow these steps:
02
Read the instructions carefully to understand the purpose of the form and the information required.
03
Begin by providing your personal information such as name, date of birth, address, and contact details.
04
Identify the reason for seeking physical therapy and provide relevant details about your medical condition or injury.
05
Mention any previous medical history or surgeries that may be relevant to your current condition.
06
Fill in your insurance information if applicable, including policy number and provider details.
07
Complete the sections relating to your primary healthcare provider, referring physician, and any other relevant medical professionals involved in your care.
08
Specify your preferred clinic location for the physical therapy sessions.
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If there are any specific goals or expectations you have from physical therapy, clearly state them in the provided section.
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Review the form for any errors or missing information before submitting.
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Sign and date the form to acknowledge that the provided information is accurate and complete.
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Submit the form as directed, either by mailing it or handing it over to the ATI Physical Therapy Inc clinic.
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By following these steps, you can successfully fill out the ATI Physical Therapy Inc form.

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ATI Physical Therapy Inc is needed by individuals who require professional physical therapy services.
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It is suitable for individuals with musculoskeletal injuries, chronic pain, or those recovering from surgeries.
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People with orthopedic conditions, neurological disorders, and sports-related injuries can also benefit from ATI Physical Therapy Inc.
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ATI Physical Therapy Inc. is a provider of physical therapy services, focusing on rehabilitation and recovery for patients.
Entities that are involved in the ownership or operation of ATI Physical Therapy Inc. may be required to file pertinent forms as dictated by regulatory authorities.
To fill out the ATI Physical Therapy Inc. form, gather the necessary information regarding your entity, complete the required fields accurately, and submit it via the specified method.
The purpose of the ATI Physical Therapy Inc. form is to report specific operational or financial information as mandated by governing bodies.
The information that must be reported typically includes operational data, financial transactions, and any other relevant details as required by regulatory authorities.
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