The Pictures Of A Physical Therapist Evaluation form, utilized by LoHi Physical Therapy, is a comprehensive document designed to gather essential information from patients seeking therapy services. This form, accessible at both 2680 18th Street, Suite 150 B in Denver, Colorado, and through contact methods like phone (303-458-9660) and email (info@CatalystTherapies.com), serves as a preliminary self-assessment tool. It encourages patients to provide detailed accounts of their symptoms, their severity, and their impact on daily life. The form prompts patients to indicate the location and nature of their discomfort using descriptors such as severe, sharp, or aching, and to rate their symptoms on a scale from zero to ten. Furthermore, it probes into the onset of these symptoms, potential causes, aggravating and alleviating factors, and any disturbance to sleep patterns. Patients are also asked about their medical history concerning the condition, including physician consultations, diagnostic tests, and prior treatments. Additionally, it seeks information on medication use, occupational impacts, exercise routines, and recreational activities affected by the condition. Importantly, it asks the patient to outline their treatment goals and the time they are willing to commit to therapy. Through its comprehensive approach, the form not only assists therapists in tailoring treatment plans but also fosters an open line of communication between the therapist and patient right from the start.
| Question | Answer |
|---|---|
| Form Name | Pictures Of A Physical Therapist Evaluation Form |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 39 |
| Avg. time to fill out | 8 min 22 sec |
| Other names | shoulder evaluation physical therapy format, therapy initial self evaluation, initial self evaluation form, pedcicatric phsyical threapy evaluation template |
