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SUBJECT PROFILE
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Location Of Primary Complaint(s)
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Pain Scale
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Description Of Symptom(s)
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Timing
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What Helps Symptom(s)
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What Makes Symptom(s) Worse?
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Additional Notes (Dictate)
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OBJECTIVE FINDINGS / TREATMENT PROCEDURES
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CERVICAL SPINE
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Range Of Motion Assessment
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Neck Musculature
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Adhesions/Trigger Points
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Modalities
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Treatment Duration For This Region(s)
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Kinesiology Tape
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Homecare Recommendations
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Additional Notes (Dictate)
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SHOULDER REGION
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Range Of Motion Assessment
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Shoulder Musculature
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Trigger Points/Adhesions
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Modalities
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Treatment Duration For This Region(s)
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Kinesiology Tape
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Homecare Recommendations
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Additional Notes (Dictate)
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THORACIC/LUMBAR SPINE
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Range Of Motion Assessment
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Back Tensions
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TrPs
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Modalities
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Treatment Duration For This Region(s)
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Kinesiology Tape
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Homecare Recommendations
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Additional Notes (Dictate)
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UPPER EXTREMITY
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Upper Extremity Musculature
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TrPs:
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Modalities
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Treatment Duration For This Region(s)
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Kinesiology Tape
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Homecare Recommendations
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Additional Notes (Dictate)
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LOWER EXTREMITY
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Lower Body Region(s)
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Adhesions/Trigger Points
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Modalities
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Treatment Duration For This Region(s)
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Kinesiology Tape
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Homecare Recommendations
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Additional Notes (Dictate)
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Assessment: Post Treatment
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Response To Treatment
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Next Patient Visit
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