Term
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Definition
| PT info, demographic and billing information |
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Term
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Definition
| contains a collection of subjective information about the PT in the PT's words, symptoms, physical signs |
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Term
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Definition
legal doc-
protects the healthcare personnel-
informs the PT of Tx risks and
alternatives |
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Term
| Consent to use and disclose health information form |
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Definition
| must be signed BEFORE and PT info can be released |
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Term
| History and physical form |
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Definition
| used by the Phys to assess the PT past and current state of health |
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Term
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Definition
| used to update the status of the PT's health |
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Term
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Definition
| list of current medications taken including OTC, herbal and natural |
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