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Attended Modalites
Patient's comments
Ultrasound
Ultrasound/combo 97032
US/combo region
• • •
Ultrasound 97035
US region
• • •
US Frequency
US Intensity
Duty Cycle
Time
Comments:
ARP
ARP- 97530
ARP Region
• • •
AROM with ARP
• • •
ARP Comment:
MLS laser
MLS Laser with active movement
Laser Setting(s)
• • •
MLS Laser Region
• • •
Intensity
Time
Frequency(HZ)
Comments:
Unattended therapies
EM stim 97014
EM stim region
• • •
Microstimulation
Micro region
• • •
Paraffin
Paraffin Area
Ice/Heat PT 97010
• • •
Ice/heat PT region
• • •
Comments:

MODALITES Per Tx Plan Medical Form

Physical Therapist

Dr Cristina Olteanu

There are 2 copies in use.
Published: Feb. 24, 2017, 6:55 p.m.
Doctor: Dr. History Physical
Rating: 0   /

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