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EW Motion Therapy Trussville LLC 183 Main Street // Suite D // Trussville AL 35173 Ph 205.655.1009 // Fax 205.655.1264 // ewmotiontherapy.com PATIENT HEALTH AND MEDICAL HISTORY Todays Date: Chief.

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How to fill out the Patient Forms - EW Motion Therapy online

Filling out the Patient Forms - EW Motion Therapy online is an essential step in ensuring you receive the best possible care. This guide will assist you in navigating through each section of the forms with clear instructions to facilitate a smooth and efficient process.

Follow the steps to successfully complete the forms online.

  1. Press the ‘Get Form’ button to access the Patient Forms - EW Motion Therapy and open them in your document editor.
  2. Begin filling out the Patient Health and Medical History section. Enter today’s date and your chief complaint for today’s visit in the designated fields. Specify whether your injury was gradual or sudden, along with the date if applicable.
  3. Continue by detailing any history of present symptoms and prior treatments. If you have visited another physical therapist or chiropractor for similar symptoms, indicate this along with the dates and number of visits.
  4. If you have undergone any imaging studies, indicate this and provide details like the type of study and date completed.
  5. List any relevant surgeries related to your injury, including types and dates.
  6. Complete the section regarding current medications and any significant recent weight changes.
  7. Indicate if your injury is due to an accident, providing the date and description if applicable.
  8. Move on to the Patient Information Sheet. Fill in your legal name, preferred name, date of birth, social security number, address details, and phone numbers.
  9. Provide your emergency contact information and insurance details. Ensure all fields are accurately completed, including the primary and secondary insurance company information.
  10. Review your entries for accuracy. Once all sections are complete, you can save your changes, download, print, or share the completed form as needed.

Start filling out your Patient Forms online today for a seamless experience at EW Motion Therapy.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232