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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.

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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.

Date:
Precautions:
Patient Code:
DOB:
Age:
Patient:
Date of Initial Eval:
Physician:
Date Plan Established:
Primary Diagnosis:
Time Treatment Started:
Time Treatment Ended:
Total Treatment Time:
History:
Past Medical History:
Current Medication:
Chief Complaint At This Time:
Symptoms are relieved by
and made worse by
Prior Function Level:
Treatment Report:
TOTAL TIME FOR MANUAL THERAPY:
Significant Clinical Findings:
Pain Level:
Observation:
Palpation:
Functional Activity Level:
Gait:
...and More!

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More Information

Creator: Team GoCanvas
Language: English
Country: United States of America
Type: Patient Records
Tags:
Health Care, Surgery, Physical Therapy
Categories:
Health Care & Social Services, Physical Therapy, Surgery