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Get the free VitalStim therapy for swallowing - Hospital San Vicente

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VitalStim Therapy Order Form Fax to: 18008961798 Call in your order: 18005061130 Bill to:Ship to: If different than Bill to informationCustomer Account NameCustomer Account NumberAddressCustomer NameCityState
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How to fill out vitalstim formrapy for swallowing

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How to fill out vitalstim formrapy for swallowing

01
Start by gathering all necessary information about the patient such as medical history, current swallowing difficulties, and any previous treatments.
02
Complete the patient's demographics section with their name, date of birth, contact information, and insurance details.
03
Document the patient's current diet and any restrictions or modifications that have been recommended by the healthcare provider.
04
Record the results of the swallowing assessment including the patient's ability to chew, swallow, and protect their airway.
05
Enter the treatment plan including the frequency, duration, and intensity of the VitalStim therapy sessions.
06
Make sure to obtain the necessary signatures from the patient or their legal guardian to consent to treatment and release medical information.
07
Review the completed form for accuracy and make any necessary revisions before submitting it for approval.

Who needs vitalstim formrapy for swallowing?

01
Individuals who have been diagnosed with swallowing difficulties such as dysphagia may benefit from VitalStim therapy for swallowing.
02
Patients who have suffered from conditions such as stroke, Parkinson's disease, or head and neck cancer that have impacted their ability to swallow may also benefit from this therapy.
03
Healthcare providers may recommend VitalStim therapy for patients who have not responded to traditional swallowing therapies and are in need of a more intensive treatment option.
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VitalStim therapy for swallowing is a form of neuromuscular electrical stimulation (NMES) used to treat dysphagia, a condition that affects the ability to swallow.
Healthcare providers who administer VitalStim therapy for swallowing are required to file the necessary documentation.
To fill out the VitalStim therapy form, providers need to include patient information, treatment details, and the clinical justification for the therapy.
The purpose of VitalStim therapy is to enhance muscle strength and improve swallowing function in patients with dysphagia.
The information that must be reported includes patient demographics, clinical assessment results, therapy sessions, and outcomes.
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