Subjective History Vestibular - Drayer Physical Therapy Institute 2026

1. Click ‘Get Form’ to open the Subjective History Vestibular form in the editor.
2. Begin by entering your personal information, including your name, date of birth, and evaluation date at the top of the form.
3. In the 'Subjective' section, provide details about your symptoms, including their onset and severity. Check the appropriate boxes for hand dominance and symptom status.
4. Complete the testing history by marking any relevant tests you have undergone. If applicable, describe previous treatments and their effectiveness.
5. Move on to 'Functional Abilities and Restrictions' where you will indicate activities that are difficult for you due to your condition. Be sure to specify what worsens or improves your symptoms.
6. Fill out the 'Current Complaints' section by marking pain locations and rating your pain levels. Provide additional details about symptom patterns.
7. Continue through sections on safety precautions, work history, previous medical history, medications, and patient goals for therapy as prompted.
8. Finally, review all entries for accuracy before signing at the bottom of the form.

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