Get Drayer Physical Therapy Institute Initial Evaluation Subjective History Worksheet Pelvic Girdle 2014-2025

Filling out the Drayer Physical Therapy Institute Initial Evaluation Subjective History Worksheet for the pelvic girdle is a crucial step in understanding and addressing your concerns. This guide will provide clear, step-by-step instructions on how to accurately complete the form online, ensuring a comprehensive evaluation of your health history.

Follow the steps to complete the worksheet effectively.

1. Press the ‘Get Form’ button to access the worksheet and open it in the online editor.
2. Begin by entering your personal information in the designated fields, including your name, date of birth, and date of evaluation.
3. In the subjective section, input your age, the start date of your symptoms, and provide details about what brought you to therapy. Be specific about your current problem.
4. Indicate whether your condition is improving, getting worse, or staying the same, and check any relevant tests that have been performed.
5. Answer questions regarding past symptoms and treatments, including any medications or physical therapy received, noting whether they were beneficial.
6. Provide details on any surgeries you have had and whether you have used any durable medical equipment.
7. For current complaints, rate your pain levels at worst, best, and currently using the provided scale and mark any pain locations.
8. Describe the characteristics of your pain and whether you experience symptoms at specific times of the day.
9. Fill out the work history, social history, and living environment sections, including details on your occupation and job duties.
10. Complete the functional abilities and restrictions section by indicating activities, household duties, and hobbies affected by your condition.
11. Provide your previous medical history, surgical history, and OB/GYN history by checking all that apply.
12. Complete the bowel and bladder habits section by providing information on your drinking habits and any relevant urinary or bowel issues.
13. List any medications you are currently taking, including the name, dosage, frequency, and route.
14. State your personal goals for therapy clearly in the designated section.
15. Finally, review your entries for accuracy and completeness before signing and dating the document to affirm your provided information.
16. After filling out the form, save your changes, download, print, or share the document as needed.

Complete your Drayer Physical Therapy Institute Initial Evaluation Subjective History Worksheet online today to ensure a thorough assessment!