PT/OT Referral Form

Información del documento
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Título

PT/OT Referral Form

(108 KB DOC)
Descripción

Attending Providers use this form to refer injured workers for physical or occupational therapy to progressively increase activity and exercise, or activity tolerance, develop home or self-care programs, and perform work activity conditioning. Explains to therapists your specific requests and expected follow-up therapy reports.

Detalle
Número del formulario F252-099-000
Disponibilidad solicítelo
Palabras claves attending provider, referral, therapy
Idiomas English
Fechas válidas 10-2013
Contacto Managing Injured Workers' Claims
Claims for Job Injuries
Páginas de Internet For Medical Providers

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