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HEALING HANDS PHYSICAL THERAPY, P.L.L.C. NEW PATIENT INFORMATION SHEET Date Name Address City State Zip Code Date of Birth SS# Home Number Cell Number Work Number Employer Occupation Marital Status
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How to Fill Out Healing Hands Physical Therapy Form:

01
Start by gathering all the necessary information. The form will typically require your personal details such as name, address, date of birth, and contact information.
02
Next, provide your medical history. This may include any previous injuries or conditions, surgeries, allergies, or medications you are currently taking. Be as specific and accurate as possible to ensure the therapist has a comprehensive understanding of your health.
03
Fill in the primary reason for seeking physical therapy services. Describe the symptoms or issues you are experiencing and indicate any referrals or recommendations you may have received from other healthcare professionals.
04
The form might ask you to identify your goals or expectations from the physical therapy sessions. This will help the therapist tailor the treatment plan to meet your specific needs and objectives.
05
If applicable, indicate any specific areas of the body that require attention or treatment. This could include joints, muscles, or any other problem areas you want to focus on during your sessions.
06
Lastly, review the form to ensure all the information provided is accurate and complete. Make sure to sign and date the form if required.

Who needs Healing Hands Physical Therapy:

01
Individuals with musculoskeletal injuries: Anyone who has experienced an injury to their muscles, bones, joints, or connective tissues may benefit from Healing Hands Physical Therapy. This can include sprains, strains, fractures, or post-surgical rehabilitation.
02
Patients with neurological conditions: Healing Hands Physical Therapy also caters to individuals with neurological disorders such as stroke, multiple sclerosis, or Parkinson's disease. The therapy can assist in improving movement, balance, and overall function.
03
Individuals seeking pain relief: If you are experiencing chronic pain in any part of your body, Healing Hands Physical Therapy can help alleviate pain through various techniques, exercises, and manual therapy.
04
Athletes and sports enthusiasts: Healing Hands Physical Therapy provides specialized treatment plans for athletes who want to recover from sports-related injuries and improve their performance. The therapy aims to enhance strength, flexibility, and endurance for athletes of all levels.
Overall, Healing Hands Physical Therapy is suitable for anyone seeking rehabilitation, pain relief, improved mobility, or enhanced physical function.
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Healing Hands Physical Therapy is a form of therapy that helps individuals recover from injuries, reduce pain, and improve physical function through exercises and hands-on techniques.
Healing Hands Physical Therapy is typically filed by physical therapists or healthcare providers who provide physical therapy services to patients.
To fill out Healing Hands Physical Therapy forms, providers need to document the patient's medical history, assessment findings, treatment plan, and progress notes.
The purpose of Healing Hands Physical Therapy is to help patients regain mobility, reduce pain, and improve quality of life through personalized treatment plans.
Information that must be reported on Healing Hands Physical Therapy includes patient demographics, treatment provided, progress notes, and outcomes.
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