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Physical Therapy Evaluation - Hip Mobile App

The Physical Therapy Evaluation – Hip mobile app is a PT evaluation that is intended for patients who have suffered a Hip injury and includes assessment items that are specific to this part of the body. This evaluation can be filled out with a mobile device or tablet and once completed can be uploaded and stored HIPAA Secure in the GoCanvas Cloud.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Physical Therapy Evaluation - Hip Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    Date:

  • Ico textbox

    Precautions:

  • Ico textbox

    Patient Code:

  • Ico date

    DOB:

  • Ico integer

    Age:

  • Ico textbox

    Patient:

  • Ico date

    Date of Initial Eval:

  • Ico textbox

    Physician:

  • Ico date

    Date Plan Established:

  • Ico textbox

    Primary Diagnosis:

  • Ico time

    Time Treatment Started:

  • Ico time

    Time Treatment Ended:

  • Ico calculator

    Total Treatment Time:

  • Ico multiline

    History:

  • Ico multiline

    Past Medical History:

  • Ico multiline

    Current Medication:

  • Ico multiline

    Chief Complaint At This Time:

  • Ico multiline

    Symptoms are relieved by

  • Ico multiline

    and made worse by

  • Ico multiline

    Prior Function Level:

  • Ico multiline

    Treatment Report:

  • Ico textbox

    TOTAL TIME FOR MANUAL THERAPY:

  • Ico statictext

    Significant Clinical Findings:

  • Ico multiline

    Pain Level:

  • Ico multiline

    Observation:

  • Ico multiline

    Palpation:

  • Ico multiline

    Functional Activity Level:

  • Ico multiline

    Gait:

  • ...and More!

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