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Physical Therapy Assessment Form PDF Patient Information Patient Name: ___ Date of Birth: ___ Gender: Male Female Other Contact Number: ___ Emergency Contact: ___ Medical History Previous Injuries:
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How to fill out physical therapy assessment form

01
Start by gathering the necessary information such as the patient's personal details, medical history, and current symptoms.
02
Begin by recording the patient's vital signs such as blood pressure, heart rate, and temperature.
03
Perform a physical examination to assess the patient's range of motion, strength, flexibility, and balance.
04
Use standardized tests and measurements to objectively evaluate the patient's functional abilities.
05
Document your findings accurately and thoroughly on the assessment form, including any recommendations for treatment or further evaluation.
06
Review the completed form with the patient and discuss the findings and treatment plan.

Who needs physical therapy assessment form?

01
Individuals who have recently experienced an injury or surgery that may benefit from physical therapy.
02
Patients with chronic conditions such as arthritis or back pain that require ongoing management and rehabilitation.
03
Athletes looking to improve their performance or recover from sports-related injuries.
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A physical therapy assessment form is a document used by physical therapists to evaluate a patient's condition, track progress, and create a treatment plan.
Typically, licensed physical therapists or healthcare practitioners providing physical therapy services are required to file the assessment form.
To fill out the physical therapy assessment form, the therapist should gather patient information, assess physical capabilities, document medical history, set treatment goals, and sign the form.
The purpose of the physical therapy assessment form is to evaluate a patient's needs, document findings, track patient progress, and guide the treatment plan.
The form must include patient demographics, medical history, current condition, assessed needs, treatment goals, and any relevant physical examination findings.
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