№ files_lp_4_process_1_24888
File format: docx
Character count: 3004
File size: 1159 KB
Structured patient intake form collecting personal, medical, and insurance details along with consent for treatment, communication, and media usage for a physical therapy clinic.
Year:
2026
Organization:
Performance UNLIMITED Physical Therapy
Document Type:
Patient intake and consent form
Intended Audience:
Patients of the clinic
Region:
United States
Contents:
Personal details, medical history, insurance information, treatment consent, communication and photo/video consent
Date of Issue:
2026-03-09
Validity Period:
Until updated or revoked by patient
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2022
Region / City:
California
Topic:
Organizational Structure
Document Type:
Organizational Chart
Organization:
California Fly Fishers Unlimited
Author:
Forrest Oldham, Julie Kaye, John Durand, Laurie Banks, Jim Berdan, Mike Guisti, Sheila Cavanaugh, Rich Wilson, Rich Kendall, Meloney W, Paul Wisheropp, Will Morin, Glenn Yee, Tim Au Young, Bev Thomas, Christie and Michael Roberts, Larry Coulter, Jeff Stephens, Bill Felts, Don Wallace, Brandi Herron, Tim Landrus, Ed Morell, Dave Lentz, Chuck Odell, Rob Scafe, William Mc Zeek
Target Audience:
Members of California Fly Fishers Unlimited
Date of Approval:
10/26/2021
Date of Revision:
10/26/2021
Year:
2023
Region / City:
UK, international
Topic:
Arts, disability, social model approach
Document Type:
Resource brief
Organization:
Unlimited
Author:
Unlimited
Target Audience:
Professional cultural sector, arts councils, arts funders, arts organizations, cultural audiences
Period of Validity:
Until March 2024
Approval Date:
29 September 2023
Change Date:
N/A
Note:
Context
Year:
2026
Region / City:
Chelsea, AL
Topic:
Scholarship Application
Document Type:
Checklist
Organization / Institution:
Opportunities Unlimited Scholarship Committee
Author:
Grace Anderson, Scholarship Committee Chair
Target Audience:
Applicants for the 2026 Opportunities Unlimited Scholarship
Period of Validity:
Until February 13th, 2026
Approval Date:
N/A
Date of Changes:
N/A
Year:
2026
Region / city:
United Kingdom
Topic:
Good Manufacturing Practice, Advanced Therapy Medicinal Products (ATMPs)
Document type:
Consultation response
Organization / institution:
NHS Advanced Therapy Medicinal Products Working Party
Author:
Anne Black
Target audience:
Pharmaceutical professionals, regulatory bodies, academic researchers
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
Year:
2026
Region / City:
Dobbs Ferry
Subject:
Occupational Therapy, Education
Document Type:
Program Curriculum
Institution:
Mercy University
Author:
Not specified
Target Audience:
Prospective students, applicants for Occupational Therapy Doctorate
Period of Validity:
Starting Fall 2026
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Region / City:
Canberra
Topic:
Diabetes management, exercise therapy
Document Type:
Procedure
Institution:
Canberra Health Services
Author:
Not specified
Target Audience:
Clinicians, healthcare professionals
Period of Validity:
Indefinite
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2023
Region / city:
UK
Theme:
Oncology, Lung Cancer, Treatment Guidelines
Document type:
Clinical guidelines
Organization / institution:
NICE
Author:
NICE
Target audience:
Healthcare professionals
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Contextual description:
Detailed clinical guidelines outlining the recommended systemic treatments for advanced non-small-cell lung cancer based on disease progression and previous therapies.
Institution:
Wayne State University
Program:
Physical Therapy Program
Document type:
Program policy and standards
Subject area:
Physical therapy education
Purpose:
Admission, retention, and graduation requirements
Applicable settings:
Classroom, laboratory, tutorial, and clinical settings
Regulatory and professional references:
American Physical Therapy Association; Commission on Accreditation for Physical Therapy Education
Intended audience:
Physical therapy students and applicants
Professional scope:
Entry-level generalist physical therapy practice
Ethical framework:
Ethical and safe clinical practice standards
Standards categories:
Academic, clinical, physical, and interpersonal abilities
Academic source type:
Institutional academic policy defining professional competency standards
Year:
2024
Region / City:
Sheffield
Theme:
Cognitive Behavioural Therapy, Mental Health, Postgraduate Education
Document Type:
Academic Information Guide
Organization:
University of Sheffield
Author:
University of Sheffield
Target Audience:
Healthcare professionals, postgraduate students
Period of Validity:
Ongoing
Approval Date:
Not specified
Date of Last Update:
Not specified
Year:
2022
Region:
Massachusetts
Jurisdiction:
United States
Topic:
Chlamydia infection; expedited partner therapy; sexually transmitted infections
Document type:
Clinical advisory
Issuing body:
Massachusetts Department of Public Health
Legal basis:
M.G.L. c. 111 § 121B; 105 CMR 700.003(J); 105 CMR 721.000
Target audience:
Healthcare providers and pharmacists
Standard treatment referenced:
Doxycycline; azithromycin
Population referenced:
Adolescents, young adults, men who have sex with men
Date of update:
January 28, 2022
Organization:
Driscoll Health Plan
Document type:
Clinical policy and administrative guidelines
Revision date:
November 1, 2024
Geographic scope:
Texas
Programs referenced:
STAR, STAR Kids, CHIP
Subject area:
Therapy services prior authorization and medical necessity
Target audience:
Therapy providers and referring physicians
Authorization method:
Provider web portal and fax submission
Related forms:
Texas Standard Prior Authorization Request Form for Health Care Services (TARF), Therapy Referral Review by Ordering Physician Attestation Form
Effective policy elements:
Initial evaluations, re-evaluations, continuation of therapy, start of care rules
Coverage criteria:
Medical necessity based on clinical documentation
Source type:
Health plan policy guideline
Year:
2021
Region / City:
Oxford
Topic:
Occupational Therapy, Physiotherapy, Children’s Development
Document Type:
Intervention Programme
Institution:
Oxford Health NHS Foundation Trust
Author:
Oxford Health Children’s Integrated Therapies
Target Audience:
Parents, Teachers, Children with motor difficulties
Period of validity:
12 weeks
Approval Date:
Not specified
Modification Date:
Not specified
Context:
A guide designed for parents and educators to support children with developmental motor difficulties over a 12-week period, with a focus on fine and gross motor skills, attention, and self-care tasks.
Year:
2021
Region / City:
United Kingdom
Subject:
Yoga Therapy
Document Type:
Course Information
Organization / Institution:
The British Wheel of Yoga
Author:
Nikki Jackson, Yoga Focus Therapy Team
Target Audience:
Yoga teachers, healthcare professionals, individuals interested in Yoga Therapy
Validity Period:
From Autumn 2021
Approval:
Accredited by British Council of Yoga Therapy, approved by BWY
Date of Approval:
Not specified
Modality:
Online/Physical
Note:
Year
Topic:
Infusion Therapy Plans
Document Type:
Internal Update
Organization:
Duke Health
Target Audience:
Ambulatory Clinicians
Specialties:
Hematology, Solid Organ Transplant, Oncology, Pediatrics
Related Locations:
Duke Specialty Infusion, South Durham Infusion, Oncology Treatment Center, DUH Macon Pond Infusion, DUH Cary Infusion, DRAH Infusion Clinic
Therapy Plans:
Apheresis, Oncology/ABMT, Transplant, Peds/PBMT, Iron Products
Therapy Plan Features:
Silo-based Therapy Management, Multi-Specialty Integration
Year:
2023
Region / City:
United States
Topic:
Outpatient Physical Therapy Standards
Document Type:
Standards Manual
Organization:
QUAD A
Author:
QUAD A
Target Audience:
Healthcare providers and facility administrators
Period of Validity:
Ongoing
Approval Date:
February 1, 2023
Date of Last Revision:
Not specified
Year:
2023
Region / City:
Texas
Topic:
Therapy Services, Medical Necessity Criteria
Document Type:
Health Plan Guidelines
Organization:
Driscoll Health Plan
Author:
Driscoll Health Plan
Target Audience:
Healthcare Providers, Therapists, Medical Specialists
Effective Period:
Ongoing
Approval Date:
2/1/23
Modification Date:
None
Year:
2023
Region / City:
Unknown
Theme:
Equine Therapy, Behavioral Support
Document Type:
Report
Organization / Institution:
Developmental Disabilities Administration (DDA)
Author:
Unknown
Target Audience:
Case Managers, Behavioral Health Providers
Period of Action:
90 days
Approval Date:
Unknown
Date of Amendments:
Unknown
Note:
Year
Document Type:
Reference Form
Context:
Reference forms for the Dimensions of Diversity Scholarship Award to evaluate the applicant’s attributes related to physical therapy, leadership, cultural competency, and community involvement.
Year:
2023
Region / city:
United Kingdom
Topic:
Procurement, Defence, Nuclear Technology
Document type:
Pre-Qualification Questionnaire
Organization:
Atomic Weapons Establishment (AWE)
Author:
Not specified
Target audience:
Companies interested in procurement participation
Period of validity:
Not specified
Approval date:
10/03/2023
Amendment date:
Not specified