Get New Patient History Form - Tower Physio - Towerphysio

Completing the New Patient History Form is a crucial step in your journey to recovery. This guide will provide you with clear and supportive instructions to ensure you fill out the form online accurately and efficiently.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the New Patient History Form and open it in your preferred editor.
2. Begin by entering your name and the current date in the designated fields at the top of the form. This identification will help your physiotherapist address your specific needs.
3. Indicate how long you have been experiencing your injury by writing in the appropriate section. This information is essential for your physiotherapist to understand your condition.
4. If applicable, describe any incident that may have contributed to your injury. If you are uncertain, you can select 'No' or 'Unsure'.
5. On the pain scale provided, mark an X on the line to represent your pain level over the last 24 hours, with 0 as 'no pain' and 10 as 'the worst pain imaginable'.
6. Circle the words that best describe your pain from the options given. This helps to characterize your pain for more effective diagnosis.
7. Identify what exacerbates your pain by selecting from the listed activities or writing in other factors.
8. Similarly, indicate what alleviates your pain and include any other relevant methods that help you manage your discomfort.
9. Respond to the symptom questions by checking 'Yes' or 'No' for each condition, alongside a comments section for additional details if necessary.
10. If you have undergone any investigative tests for your injury, please describe them in the appropriate section. If not, simply select 'No'.
11. List any medications you are currently taking, ensuring to provide complete information for informed treatment.
12. In the past medical history section, select all applicable conditions from the list, emphasizing the importance of confidentiality.
13. If you have experienced any other injuries or trauma, record those details, including the year and type of injury.
14. Share your occupation and describe any work-related factors that could influence your injury or pain.
15. Finally, outline your favorite sports or activities, and specify if you have access to a gym or gym equipment, including the facility name.
16. Once you have completed the form, ensure to save your changes. You can then download, print, or share the completed document as needed.

Take the next step in your recovery by completing the New Patient History Form online today.