Get Documentation Template For Physical Therapist Patient/client ... - Scranton 2020-2025

This guide provides clear and supportive instructions on how to accurately complete the documentation template for physical therapist patient/client management. By following these steps, users can ensure that all necessary information is provided for effective patient care.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the document and open it in the online editor.
2. Fill in your name in the designated fields for 'Last' and 'First'. Provide your date of birth and sex by selecting the appropriate option.
3. Complete the 'Living Environment' section by checking the boxes that apply to your home setup, such as the presence of stairs, ramps, or assistive devices.
4. Indicate where you live by selecting one of the options provided, including private home, apartment, or other options.
5. Provide your address, city, state, and zip code in the specified fields.
6. In the 'Insurance Type' section, mark your insurance status based on the options available.
7. Select your race and ethnicity from the provided categories to ensure accurate demographic representation.
8. Detail your educational background and the highest grade completed from the given choices.
9. Fill in information about your social situation, including with whom you live and whether you have completed an advance directive.
10. Complete the 'General Health Status' section by rating your health and noting any major life changes in the past year.
11. Answer questions regarding social and health habits, such as smoking and alcohol consumption.
12. Provide responses related to your employment status and any history of exercise that may be relevant to your therapy.
13. Document your family medical history, recording any relevant conditions affecting your family members.
14. Outline any medical or surgical history, including previous surgeries and current medications if applicable.
15. Describe your current condition(s) or chief complaints for which you are seeking physical therapy.
16. Check all applicable functional status/activity level difficulties in the designated section.
17. Fill out the systems review questionnaire to provide comprehensive information across different body systems.
18. Complete the tests and measures and evaluation sections, ensuring to detail any relevant findings related to your condition.
19. Finalize by reviewing the plan of care section, writing anticipated goals, expected outcomes, and intervention methods.
20. Once all sections are complete and verified for accuracy, save your changes and choose whether to download, print, or share the form.

Start filling out the documentation template online today to ensure your physical therapy needs are met.