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Travis G. Maak, M.D. 590 Wakara Way Salt Lake City, UT 84108 Tel: (801) 5877109 Fax: (801)5877112Lic. # 82347971205Physical Therapy Prescription Patellar Tendon Repair Patient Name:Todays Date:Surgery
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How to fill out physical formrapy prescription patellar

01
Start by filling out the patient's name, date of birth, and contact information at the top of the form.
02
Specify the diagnosis or reason for the prescription in the appropriate section.
03
Clearly outline the recommended physical therapy treatment plan, including frequency and duration of sessions.
04
Indicate any specific exercises or modalities to be used during the therapy sessions.
05
Include any additional instructions or precautions for the patient to follow while undergoing physical therapy.
06
Sign and date the prescription at the bottom of the form.

Who needs physical formrapy prescription patellar?

01
Patients who have been diagnosed with patellar (knee) issues that require physical therapy treatment.
02
Medical professionals prescribing physical therapy treatment for patellar conditions.
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A physical therapy prescription for the patellar refers to a medical document that authorizes physical therapists to provide treatment specifically targeting the patellar area, often related to knee injuries or conditions.
Healthcare providers, such as physicians or licensed practitioners, who recommend physical therapy for patients with patellar problems are required to file this prescription.
To fill out a physical therapy prescription for the patellar, one should include patient information, diagnosis, specific treatments recommended, duration of therapy, and provider details.
The purpose of the physical therapy prescription for the patellar is to provide a formal recommendation for rehabilitation, ensuring that patients receive appropriate care for knee-related injuries.
The information that must be reported includes patient name, date of birth, diagnosis, prescribed treatments, number of sessions, and the prescribing clinician's information.
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