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Physical therapy forms template 2025

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The document is a comprehensive Personal Injury Intake Form used by Bay State Physical Therapy to collect detailed patient information, accident details, health history, and consent for treatment. It includes sections for personal data, accident specifics, insurance information, current health conditions, office policies, and patient consent regarding the use of personal health information.

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Click ‘Get Form’ to open the physical therapy forms template in the editor.
Begin by filling out the Patient Information section. Enter your name, contact details, and date of birth accurately. Ensure that you provide your social security number and marital status as required.
In the Accident Information section, detail the circumstances surrounding your accident. Include the date, time, and location, along with a description of how it occurred.
Complete the Health History section by circling 'Yes' or 'No' for each condition listed. This helps your therapist understand your overall health status.
In the Current Health Conditions section, describe your major complaint and any relevant medical history. Be sure to note any medications you are currently taking.
Review all sections for accuracy before signing at the bottom of the form to confirm that all information is correct.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (183 Votes)
2012	4.7 Satisfied (62 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the rule of 8 for physical therapy?

Per Medicare rules, to bill one unit of a timed CPT code, you must perform the associated modality for at least 8 minutes. Medicare adds up the total minutes of skilled, one-on-one therapy and divides the sum by 15. If eight or more minutes are left over, you can bill for an additional unit.

What is the rule of 8ths?

The concept behind the Rule of Eights is simple. If you take any move in a chart (low to high) and divide it into eights, you are going to see the market react to these lines. If the chart violates a line, it is likely to start trending in the other direction and the trade should be exited.

What is the 8 minute rule vs ama?

AMA Guidelines: Now, well discuss AMAs 8 minute rule, also sometimes known as the Mid-point Rule. The AMA uses similar guidelines as Medicare in that 1 unit equals 8 minutes. Where the AMA differs is that there is no cumulative restriction or adding of minutes, even for time-based codes.

What kind of paperwork do physical therapists do?

Complete physical therapy documentation should include important patient details such as age and date of birth, the patients medical diagnosis and any relevant medical history, any medications and dosages, a physical therapy assessment and diagnosis, physical therapy goals and plan of care, and appropriate CPT billing

How to write physical therapy notes?

How to Write Physical Therapy Notes. Writing Physical Therapy Notes involves accurately and succinctly capturing information from each session. Progress Notes should include the patients current condition, the treatment provided, their response to it, and any changes in the treatment plan.

What is the rule of 8s example?

The AMAs rule of eights For example, if you bill for 8 minutes of therapeutic exercise (97110) and 8 minutes for manual therapy (97140), you would bill two separate physical therapy billing units under the Rule of Eights (1 unit of 97110 on one line and 1 unit of 97140 on the second line).

What is the 8 rule for physical therapy?

The 8-minute rule was introduced into the rehab therapy billing process in the year 2000 and is utilized by outpatient physical therapy services, allowing a physical therapy practitioner to bill for services as long as they see their patient for at least eight minutes, which would serve as one unit of therapeutic

How to document group physical therapy notes?

List the group name, main topic(s) covered during the session, interventions you implemented, and the schedule. Since this section will be the same for each client, you can copy and paste this into everyones individualized note.

Physical therapy forms template 2025

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