 
                Get University Of Puget Sound Intake/referral Form 2018-2025
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How to fill out the University Of Puget Sound Intake/Referral Form online
Filling out the University Of Puget Sound Intake/Referral Form online is an essential step for those interested in joining the Exercise/Wellness group at the onsite physical therapy clinic. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to successfully complete the intake/referral form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Fill in the date at the top of the form. This is important for record-keeping purposes.
- Enter your full name in the designated field. Ensure that you provide your legal name as it appears on formal documents.
- In the address section, include your complete residential address. This helps in contacting you if necessary.
- Provide your phone number where you can be reached. If applicable, include multiple numbers for better communication.
- Add your email address. This will be used for any correspondence regarding your intake and appointment.
- Enter your date of birth. This information is required to identify age-related concerns in your health assessment.
- List any health concerns you may have, such as chronic pain or other conditions. This assists the clinic in tailoring your care.
- Indicate if you are currently receiving medical care for any health-related concerns. If yes, include the name and phone number of your healthcare provider.
- Detail all medications you are currently taking in the provided section, including over-the-counter and prescription drugs.
- Answer whether you exercise regularly by selecting 'Yes' or 'No'. If applicable, specify how often you exercise and describe your exercise program.
- Select your availability by checking either 'Tuesday' or 'Thursday' for the exercise/wellness group sessions.
- Be mindful of the $20 fee for participation, which will be communicated to you during the appointment setup.
- Once all sections are completed, review your form for accuracy. Make necessary adjustments if required.
- Finally, save the changes, and if needed, download, print, or share the completed form as instructed.
Complete your registration by filling out the University Of Puget Sound Intake/Referral Form online today.
Applications for the University of Puget Sound generally open in the fall, with deadlines typically around January for regular admissions. Students should keep an eye on important dates to ensure their applications are submitted on time. Thorough preparation can make a positive impact on your application success. Use the University Of Puget Sound Intake/Referral Form to stay updated about the application timeline.
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