Mi ionia intermediate district therapy form 2025

1. Click ‘Get Form’ to open the mi ionia intermediate district therapy form in the editor.
2. Begin by entering the student's name and date of birth in the designated fields at the top of the form.
3. Fill in the educational diagnosis, followed by the names of the physical and occupational therapists responsible for treatment.
4. Provide physician details, including their name, address, city, and ZIP code.
5. Indicate the proposed treatment start date and check off relevant therapy options under Physical Therapy and Occupational Therapy sections.
6. In the comments section, add any additional notes or specific instructions related to treatment.
7. Ensure both physical and occupational therapists sign where indicated, along with the physician's signature at the bottom of the form.
8. Finally, review all entries for accuracy before submitting it back to Terri Thomas at Ionia County Intermediate School District.

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