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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 Rotator Cuff Repair Patient Name:Todays Date:Surgery
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How to fill out physical formrapy prescription rotator

01
Obtain the physical therapy prescription form from a healthcare provider.
02
Fill out the patient's personal information including name, date of birth, and contact information.
03
Specify the diagnosis or reason for the physical therapy prescription.
04
Detail the recommended treatment plan including frequency and duration of therapy sessions.
05
Sign and date the physical therapy prescription form.

Who needs physical formrapy prescription rotator?

01
Individuals who have suffered a rotator cuff injury
02
People recovering from shoulder surgery
03
Patients with chronic shoulder pain or limited range of motion
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A physical therapy prescription rotator is a structured document that provides authorization for physical therapy treatments, detailing the specific therapies and exercises prescribed by a licensed healthcare provider.
Healthcare providers who prescribe physical therapy to patients are required to file the physical therapy prescription rotator, ensuring proper documentation and approval for treatment.
To fill out a physical therapy prescription rotator, a healthcare provider must include patient information, diagnosis, prescribed treatments, duration of therapy, and their signature to validate the document.
The purpose of the physical therapy prescription rotator is to provide clear and concise instructions for physical therapy treatments, facilitating communication between healthcare providers and therapists, and ensuring that patients receive appropriate care.
The physical therapy prescription rotator must report patient details (name, date of birth), diagnosis, prescribed treatments, frequency and duration of sessions, and the prescribing provider's information.
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