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[ Home ] [ Table of Contents ] [ Intro ] [ Cost Per Client ] [ Setting Your Fees ] [ Types of Insurance ] [ Personal Injury ] [ HMO's, PPO's ] [ How to become a p ] [ Contracts ] [ Injured Workers ] [ HCFA Intro ] [ Fill out HCFA ] [ CPT Codes ] [ The ICD-9's ] [ Documentation ] [ SOAP Charting for Massage Therap ] [ Reports ] [ Getting Paid ] [ Networking ] [ In Summary ] [ Issues and Ethics ] [ Glossary A-E ] [ GlossaryF-O ] [ Glossary P-Z ] [ Insurance Benefits Verification ] [ Track communications with the in ] [ Physicians Referral for Massage ] [ Progress Report From ] [ Resources ]
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Progress Report From:_________________________________

To:____________________________

Progress Report as of:___/___/___

 

Regarding:_____________________

 

Treatments since last report:_______

 

Current Rx expires:_______________

 

Overall Patient Progress is: ___Poor   ___Marginal  ___Good  ___Excellent

 

Areas Treated: ___Cervical  ___Thoracic   ___Lumbar  ___Sacral  ___Other ____

 

Subjective and Objective Observations

 

 

 Left

Right

No Current

Problem

Improving

Not

Improving

 

Increased

Symptoms

Neck

 

 

 

 

 

 

Shoulder

 

 

 

 

 

 

Arm

 

 

 

 

 

 

Mid Back

 

 

 

 

 

 

Low Back

 

 

 

 

 

 

Pelvis

 

 

 

 

 

 

Leg

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Patient rates their stress level as: ___Low  ___Moderate  ___High

 

OtherConcerns/Comments:__________________________________________________

_______________________________________________________________________

 Very Much for your referral.

Please also check the insurance billing manual updates and the blog for more information.
 

 

  




 



 

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