Aiea eval 1 2026

1. Click ‘Get Form’ to open the aiea eval 1 in the editor.
2. Begin by entering the patient's name, date of injury/illness, date of birth, and phone number in the designated fields. Ensure accuracy for effective treatment planning.
3. Fill in the surgery date and provide details for Diagnosis #1 and #2 along with their corresponding ICD-10 codes. This information is crucial for insurance processing.
4. In the 'Goals and Measurable Objectives' section, outline specific targets for patient recovery. Use clear language to define expectations.
5. Specify treatment frequency and duration for both Physical Therapy and Massage Therapy evaluations. Choose appropriate modalities from the list provided.
6. Complete any special instructions that may be necessary for patient care, ensuring all relevant details are included.
7. Finally, have the physician sign and date the form before submission to ensure compliance with medical standards.

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