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BODIES IN MOTION PHYSICAL THERAPY MEDICAL HISTORY QUESTIONNAIRE PATIENT NAME: ___ DOB___ DATE___ Age ___ Height ___ Weight ___Occupation: ___Physical Requirements of Job: ___ Current problem When
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How to fill out back in motion physical

01
Schedule an appointment with a back in motion physical therapist.
02
Arrive at the physical therapy clinic on time for your appointment.
03
Fill out any necessary paperwork provided by the clinic, including medical history and insurance information.
04
Meet with the physical therapist to discuss your specific needs and concerns.
05
Follow the therapist's instructions for exercises and treatments during your session.
06
Ask any questions or address any concerns you may have during the appointment.
07
Schedule any follow-up appointments as recommended by the therapist.

Who needs back in motion physical?

01
Individuals who are experiencing pain or discomfort in their back.
02
People recovering from back injuries or surgeries.
03
Athletes looking to improve their performance and prevent back injuries.
04
Individuals with conditions such as scoliosis or arthritis that affect their back.
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Back in Motion Physical is a program designed to assist individuals in returning to work after an injury or illness by providing necessary physical assessments and rehabilitation services.
Individuals who have been injured or have experienced a significant health condition that affects their ability to work are typically required to file a Back in Motion Physical.
To fill out the Back in Motion Physical form, individuals need to provide personal information, details about their medical history, and specific information regarding their injury or condition as instructed on the form.
The purpose of Back in Motion Physical is to evaluate an individual's physical capabilities and limitations to ensure they are fit to return to their job safely.
Reported information typically includes personal identification, medical history, the nature of the injury or condition, current physical status, and any treatments received.
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