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Daily Note
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Subjective
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Patient reports:
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Objective
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Recent Objective Findings
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Assessment
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Assessment
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Pain decreased
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new pain scale
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improved ROM
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new ROM
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improved muscle strength
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new MMT grading
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improved function
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ADL improvement
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Recent symptom trend
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Other Remarks:
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Plan
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Frequency
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Duration
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Therapeutic Exercise: (97110)
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Patient performed: Therex
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Manual Therapy: (97140)
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Therapist performed: Manual
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Neuromuscular Re-Education: (97112)
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Total time
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Therapeutic Activities: (97530)
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Total time
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Ice: (97010)
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Total time
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Heat: (97010)
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Total time
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Electric Stimulation: (97014)
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Total time
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Ultrasound: (97035)
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Total time
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Gait Training: (97116)
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Total time
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Review of HEP
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Total time
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