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PHYSICAL THERAPY CARE PLAN - PN System

PHYSICAL THERAPY CARE PLAN - PN System

www.pnsystem.com

PHYSICAL THERAPY DATE OF SERVICE / / OBJECTIVE DATA TESTS AND SCALES PRINTED ON OTHER PAGE. TIME IN OUT HOMEBOUND REASON: Needs assistance for all activities Residual weakness TYPE OF EVALUATION Requires assistance to ambulate Confusion, unable to go out of home alone Initial Interim Final

  Care, Plan, Physical, Initial, Therapy, Interim, Physical therapy care plan, Initial interim

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