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01
Obtain the pediatric physical therapy form from the healthcare provider or facility.
02
Fill out the patient's personal information including name, date of birth, and contact information.
03
Provide detailed information about the child's medical history, current condition, and any previous therapy treatments.
04
Include information about the child's goals and objectives for physical therapy services.
05
Sign and date the form to indicate consent and agreement with the information provided.

Who needs pediatric physical formrapy services?

01
Children who have physical disabilities or injuries that impact their movement and motor skills.
02
Children with developmental delays or conditions such as cerebral palsy, Down syndrome, or spina bifida.
03
Children recovering from surgery or traumatic injuries.
04
Children with chronic conditions such as muscle weakness or coordination issues.
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Pediatric physical therapy services are specialized therapy services designed to help children with physical impairments or disabilities improve their movement, function, and overall quality of life.
Pediatric physical therapy services can be recommended by a pediatrician, primary care physician, or specialist for children who have a physical impairment or disability that affects their ability to move and function properly.
To fill out pediatric physical therapy services, a licensed physical therapist will evaluate the child's condition, create a personalized treatment plan, and provide therapy sessions to help the child reach their movement and function goals.
The purpose of pediatric physical therapy services is to improve a child's physical abilities, promote independence, prevent further injury, and enhance their overall quality of life.
Information reported on pediatric physical therapy services may include the child's diagnosis, treatment plan, progress notes, goals, and any other relevant medical information.
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