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This document is a scheduling form for the Pennsylvania Osteopathic Manipulative Therapy (OMT) examination. It includes sections for personal information, examination date selection, examination location, education history, examination history, special modifications, and a candidate affidavit. Applicants must follow the guidelines for submission and payment, with deadlines for each examination date.
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01
Obtain the Pennsylvania osteopathic manipulative therapy form from the appropriate health department or clinic.
02
Fill out your personal information at the top of the form, including your name, address, and contact details.
03
Provide your medical history, including any relevant conditions or prior treatments.
04
Select the type of osteopathic manipulative therapy you are seeking, based on your needs.
05
Indicate any allergies or sensitivities to medications or treatments in the designated section.
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Review the consent section carefully and sign to acknowledge your understanding of the therapy being provided.
07
Submit the completed form to your healthcare provider for review.

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Pennsylvania osteopathic manipulative therapy (OMT) is a hands-on treatment used by osteopathic physicians to diagnose, treat, and prevent conditions related to muscles, joints, and the nervous system.
Osteopathic physicians practicing in Pennsylvania who utilize manipulative therapy in their treatment plans are required to file the relevant documentation.
To fill out the form, practitioners need to provide patient details, treatment specifics, dates of service, and sign to certify the accuracy of the information.
The purpose of the form is to ensure proper documentation and regulatory compliance regarding the use of osteopathic manipulative therapy in patient care.
The form requires reporting patient identification, treatment dates, techniques used, assessment of treatment outcomes, and practitioner's credentials.
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