www.marshallortho.com
                                                

Douglas A. Waldman, MD  [UPIN B-61753  NPI 1902801871]

304 University, Suite 212      Marshall, Texas 75670-5247

Phone [903] 935-1151 -- Fax [903] 935-0077

PHYSICAL THERAPY / OCCUPATIONAL THERAPY  ORDERS

 

Patient Name:

Diagnosis:

Agency:

      

PLEASE EVALUATE AND TREAT

Sessions per week :     Number of weeks:   Side affected : 

Area affected :

Weight Bearing Status:      Shoulder abduction:

Brace / sling / crutches or walker :

Notes:

GOALS OF THERAPY : increase range of motion; improve proprioception; increase strength; decrease pain and swelling

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   Douglas A. Waldman, MD

Date: