... helping you startup your physical therapy service for women

Documentation Tools

CD OR DISK - Documentation Forms

One less thing to do before you startup! These forms are in checklist format, Medicare compliant and ready to use.

The documentation forms consists of the health questionnaires for the patient and a checklist evaluation for the clinician.  A disk is included that can be edited to allow for individual preference.  Please specify if you prefer a CD.  A disk will automatically be included with the form.

Documentation Forms are available for:

1. Trunk, Pelvis and Lower Extremity Pain (for Back-pain during pregnancy and postpartum)

2. Bowel Dysfunction

3. Male Pelvic Floor Dysfunction

4. Vulvar and Vaginal Pain

5. Incontinence and Prolapse

 

P.O. Box #17602, Sugar Land, Texas 77496. (PH) (713) 775-6393.

fhakeem@alltel.net or rhakeem@alltel.net