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Fax Cover Sheet - Greenwood Physical Therapy

Fax Cover Sheet - Greenwood Physical Therapy 2026

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The document is a patient registration packet for GPT Physical Therapy, detailing the necessary forms and information required for new patients. It includes instructions on what to bring to the first appointment, parking information, a missed appointment policy, and consent forms for treatment. Additionally, it outlines privacy practices regarding patient information and financial agreements related to insurance billing and patient responsibilities.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the date at the top of the form. This helps in tracking your submission.
Fill in your name, ensuring to include your last name, first name, and middle initial as required.
Indicate your marital status by selecting one of the options: Single, Married, Divorced, or Widowed.
Provide your contact information including home phone, cell phone, and work phone. Specify which number you prefer for contact.
Complete the emergency contact section with a local person's name and relationship to you.
Review the missed appointment policy and sign where indicated to acknowledge understanding.
Finally, ensure all fields are filled out neatly before saving or sending the completed form.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (81 Votes)

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How to document physical therapy notes?

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 document a physical examination?

Patients initials (for confidentiality) and age. Chief Concern (CC); The patients principle concern or concerns, concisely summarized in one sentence. History of Present Illness (HPI): Detailed characterization of the patients current problem in paragraph form.

How to read physical therapy notes?

Most physical therapy notes are written in a basic S.O.A.P. note format, the S.O.A.P. standing for Subjective, Objective, Analysis/Assessment and Plan. While not always defined by the letter, most PT notes will contain the S.O.A.P.

How to document as a physical therapist?

Though your physical therapy documentation may expand as a patient continues along an episode of care, general components of quality physical therapy documentation examples include: Patient details (DOB, name, physician contact information) Medical diagnosis. Past medical and PT treatment history. Medication history.

Can I quit physical therapy?

Yes, therapists can draft Letters of Medical Necessity, particularly when recommending specific therapies or treatments for their patients.

How to write a PT progress note?

A progress note should comment on the improvements or lack of improvements towards the patient stated goals. These comments should reflect your assessment as to why the patient needs further skilled treatment.