Physical therapy & chiropractic
Twenty minutes of history, done before the first session.
Injury history, referral details and insurance, collected at home so the first appointment is treatment rather than paperwork.
The forms this specialty uses
Their words, their forms, their agreement.
01
Injury and symptom history, with body-area detail
02
Referral and prior treatment
03
Consent, financial policy and cancellation terms
Injury and symptom history, with body-area detail
Referral and prior treatment
Consent, financial policy and cancellation terms
Submit securely
Encrypted to this practice’s key
Agreements
Each practice signs its own agreement.
Sent, signed and countersigned before anything is collected on that practice’s behalf. Its own encryption key, its own retention, its own audit scope.
CollectingAgreement countersigned
RefusedNothing collected until signed
RetentionExactly as long as you chose
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