2019 EviCore Healthcare PT OT Therapy Intake Form: Neurological Conditions-2025

Get Form
2019 EviCore Healthcare PT OT Therapy Intake Form: Neurological Conditions Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 2019 EviCore Healthcare PT OT Therapy Intake Form: Neurological Conditions with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the 2019 EviCore Healthcare PT OT Therapy Intake Form in our editor.
  2. Begin by filling in the patient’s personal information, including First Name, Last Name, Date of Birth, and contact details. Ensure accuracy as this information is crucial for processing.
  3. In the 'Provider' section, enter the provider's details such as name, specialty, and contact information. This helps streamline communication between healthcare providers.
  4. Complete the 'Administrative' section by selecting the type of service requested (Physical or Occupational Therapy) and providing relevant diagnosis codes and descriptions.
  5. For the 'Patient Reported/Standardized Assessment' section, select appropriate measures used to assess mobility and health status. Input scores for both initial and follow-up assessments where applicable.
  6. Review all entered information for completeness before submitting. Utilize our platform’s features to save your progress or share it with colleagues for review.

Start using our platform today to fill out your forms online for free!

See more 2019 EviCore Healthcare PT OT Therapy Intake Form: Neurological Conditions versions

We've got more versions of the 2019 EviCore Healthcare PT OT Therapy Intake Form: Neurological Conditions form. Select the right 2019 EviCore Healthcare PT OT Therapy Intake Form: Neurological Conditions version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2019 4.8 Satisfied (190 Votes)
2018 4.3 Satisfied (63 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

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.
Contact us
Based on the 2022 Journal Citation Reports, Science Edition, published in June 2023, JOSPTs current impact factor is 6.1. The Journals 5-year impact factor is 6.4.
Regaining Independence Neurological injuries and conditions often result in a loss of function that makes even simple tasks seem daunting. OT helps patients relearn the skills they need for daily living, fostering independence in activities such as bathing, dressing, cooking, and moving around the home.
New Impact Factor: 3.679*
Complimentary Subscription. Members receive a subscription to the Journal of Neurologic Physical Therapy (JNPT) which is a quarterly, peer reviewed, Medline indexed Section journal. JNPT has a Journal Citation Reports (JCR) Impact Factor of 4655.
It is published by Oxford University Press on behalf of the American Physical Therapy Association and was established in 1921. According to the Journal Citation Reports, the journal has a 2023 impact factor of 3.5. Phys.

People also ask

JNPT has a Journal Citations Reports Impact Factor of 4.655 in the category of Rehabilitation, JNPT is ranked 10 of 68 in the Rehab category.

Related links