CCDigitalStudios
Physical Therapy & Occupational Therapy Intake Form - Google Doc
Physical Therapy & Occupational Therapy Intake Form - Google Doc
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Enhance your practice's efficiency with this Client Intake Form for Physical & Occupational Therapists, delivered as an editable Google Doc. Designed to streamline the new patient intake process, this form enables you to collect essential information digitally, reducing administrative workload and improving patient experience.
This template is ideal for both physical and occupational therapists, offering a professional and organized approach to patient intake. The editable format allows for easy customization, ensuring the form aligns with your practice's requirements.
Invest in this Client Intake Form to streamline your administrative processes, maintain organized patient records, and provide a seamless experience for your new clients.
✦ SECTIONS ✦
Patient Information
Primary Insurance
Secondary Insurance
Medical History (human outline included)
Pain Scale
Medications
Surgeries
Medical Conditions
Goals for Treatment
Additional Information
(drop downs and check boxes for quick note taking)
✦ FEATURES ✦
➔Printable - just print and start writing
➔Computer/Laptop/Tablet/Phone
➔Editable Google Doc - ❗️You will need a Google Account. These templates are fully editable in Google Docs, including adding, switching, or deleting sections. No Microsoft Word or previous experience with Google Docs is needed.
➔Size - US Letter 8.5x11 & A4 8.27x11.69
REMINDER: This digital download is for personal use. If you would like to redistribute (make multiple copies) and share online, distribute as handouts for clients, groups and workshops etc., you can purchase the Redistribution License by CLICKING HERE. Purchase only ONE time and it’s good for ALL past and future purchases at CC Digital Studios Website, Etsy and TPT.
© 2023 CC Digital Studios, LLC
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