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Intake Forms

 
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Intake Forms - May 12, 2008 10:08:24 AM   
ehanso

 

Posts: 353
Joined: September 14, 2004
From: Minnesota
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We are in the process of updating our out-patient forms and I am need some assistance. If you use an intake questionaire, what information do you get regarding medical history, etc? Are there examples of these forms available. Thanks for your input.
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RE: Intake Forms - May 12, 2008 3:57:33 PM   
pdtoal

 

Posts: 20
Joined: September 13, 2007
Status: online
You may want to use the Guide to PT Practice.  In it, there is a pretty thorough outpatient intake.  You could use that as your template and add or subtract things that fits you best.  In the second edition, page 699 is where they start.  I just recently updated ours and found that I wanted to add more to the symptoms within the last year section.  Also, you may want to (if not already) put in a question regarding falls within the last year, per Medicare requirements.  Let me know if you have any trouble finding the reference.

phil

(in reply to ehanso)
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RE: Intake Forms - May 13, 2008 10:15:06 AM   
Nicole Matoushek PT MPH CSHE CEES

 

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Joined: January 15, 2005
From: St. Petersburg, FL
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Great idea Phil!

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Nicole Matoushek, PT, MPH, CSHE, CEES
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(in reply to pdtoal)
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