Get Wy Chiropractic Patient Exam/re-exam Form 2016-2025
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How to fill out the WY Chiropractic Patient Exam/Re-exam Form online
The WY Chiropractic Patient Exam/Re-exam Form is crucial for documenting a patient's ongoing evaluation and treatment plans. This guide will help you navigate the form and accurately fill it out online, ensuring all necessary information is provided.
Follow the steps to complete the form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin filling out the patient information at the top of the form. Include the patient’s name, claim number, and date of completion.
- Indicate whether the patient has been discharged from care by checking ‘Yes’ or ‘No’. If discharged, provide the discharge date, sign, and ensure the form is returned via fax.
- Document the number of prior treatments received by the patient, as this can provide context for ongoing care.
- In the 'Current Subjective Complaints' section, detail any symptoms or issues the patient is experiencing.
- Outline any limitations in 'Activities of Daily Living Limitations or Duties Under Duress', noting how the patient's condition affects their daily tasks.
- Record any exacerbations since the last exam, describing any changes in the patient's condition.
- Complete the 'Current Orthopedic / Neurologic Evaluation' by documenting relevant findings from the examination.
- Measure and record any range of motion for cervical, thoracic, and lumbar categories, noting any pain associated with these movements.
- Conduct a muscle strength test and report the findings.
- Fill in the P.D.Q. Scores if applicable, providing a standardized measure of the patient's condition.
- Provide an assessment and a plan for continued care based on the findings from the form.
- Finally, add any additional information or complicating factors that might impact the treatment.
- Include the name and signature of the chiropractor completing the form.
- Once all fields are complete, save your changes, and consider downloading, printing, or sharing the form as necessary.
Complete your documents online for efficient and accurate processing.
CPT code 97035 refers to a therapeutic procedure involving ultrasound therapy, often used in conjunction with chiropractic care. While it does not directly represent chiropractic examinations, understanding this code helps in billing for various treatments offered alongside examinations. Ensuring that all treatments and exams are documented properly in the WY Chiropractic Patient Exam/Re-exam Form enhances overall patient care and documentation accuracy.
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