Physical Therapy/Rehabilitation Patient Information Form

Form Template

The Physical Therapy/Rehabilitation Patient Information Form allows users to gather relevant client information quickly and easily before the physical therapy services appointment begins.

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The physical therapy form tracks a variety of patient details, including previous treatment details, location of pain, primary care physician name, health insurance details and more. The form can be customized for use in any physical therapy and rehabilitation care center or hospital rehab center and helps providers deliver individualized care and physical rehabilitation services to each patient that can greatly increase quality of life.

Once all medical and health history details have been added to the Physical Therapy/Rehabilitation Patient Information Form, the patient can sign off on the details electronically and have the form saved for their medical records.

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