{"id":6266,"date":"2022-02-02T01:27:41","date_gmt":"2022-02-02T06:27:41","guid":{"rendered":"https:\/\/1589574ba2.nxcli.io\/?page_id=6266"},"modified":"2024-06-26T14:08:51","modified_gmt":"2024-06-26T14:08:51","slug":"patient-info-forms","status":"publish","type":"page","link":"https:\/\/gopt.us\/kearney\/patient-information\/patient-info-forms\/","title":{"rendered":"Patient Info \/ Forms"},"content":{"rendered":"\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns are-vertically-aligned-center has-white-background-color has-background is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\">Preparing for Your First Appointment<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What to Expect and How to Prepare<\/h3>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>The Go Physical Therapy team is committed to finding the root cause of your condition and developing a treatment plan that addresses your needs and helps you achieve your goals.<\/p>\n\n\n\n<p>Preparing for your first appointment at Go Physical Therapy<\/p>\n\n\n\n<p>Before your visit, make a list of questions you&#8217;d like to ask during your first meeting and <a href=\"https:\/\/gopt.us\/kearney-therapy\/contact\/\">call our office ahead of time to verify your insurance benefits<\/a>.<\/p>\n\n\n\n<p>You will register at the front desk when you arrive at our office. We&#8217;ll ask for your insurance information and any other paperwork you may have brought with you (i.e., referral, X-ray or MRI report, or other medical reports). Be prepared to talk about your medical history, previous treatments, limitations you&#8217;re dealing with, and other relevant details.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>What to bring:<\/strong><\/p>\n\n\n<div class=\"custom-bullet\"><ul>\n<li>A valid photo ID<\/li>\n<li>Insurance information, including your insurance card and any necessary authorization or referral forms<\/li>\n<li>A list of current medications, allergies, and any relevant past surgeries<\/li>\n<\/ul>\n<\/div>\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>What to wear:<\/strong><\/p>\n\n\n<div class=\"custom-bullet\"><ul>\n<li>Comfortable, loose-fitting clothing that allows for easy movement and provides access for the physical therapist to examine and treat the affected area. (Athletic wear or clothing that can be easily adjusted is ideal.)<\/li>\n<li>Supportive, closed-toe shoes, such as sneakers, to ensure safety and comfort during the session.<\/li>\n<li>Avoid wearing tight or restrictive clothing, which may hinder your ability to move freely during the session.<\/li>\n<\/ul>\n<\/div>\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>When to arrive:<\/strong><\/p>\n\n\n<div class=\"custom-bullet\"><ul>\n<li>Plan to arrive 10-15 minutes before your scheduled appointment to complete any necessary paperwork and settle in. This will also give you time to ask questions and address concerns before your session begins.<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group has-background\" style=\"background-color:#f4f5f8\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"alignright size-full\"><img decoding=\"async\" width=\"700\" height=\"500\" src=\"https:\/\/gopt.us\/kearney-therapy\/wp-content\/uploads\/sites\/7\/2024\/06\/Our-practice-kearney-physical-therapy-kearney-ne-2.jpg\" alt=\"Our-practice-kearney-physical-therapy-kearney-ne\" class=\"wp-image-217284\" srcset=\"https:\/\/gopt.us\/kearney\/wp-content\/uploads\/sites\/7\/2024\/06\/Our-practice-kearney-physical-therapy-kearney-ne-2.jpg 700w, https:\/\/gopt.us\/kearney\/wp-content\/uploads\/sites\/7\/2024\/06\/Our-practice-kearney-physical-therapy-kearney-ne-2-300x214.jpg 300w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/figure>\n<\/div>\n\n\n<p>During your first session, one of our physical therapists will typically perform a comprehensive evaluation, develop a therapy plan for you, and provide any necessary education, pain relief, or home exercises.<\/p>\n\n\n\n<p>The evaluation will take up most of your appointment time. It includes a review of your medical history, an assessment of your current condition, and an examination of your range of motion, strength, and movement patterns. Our therapist will also discuss your goals and determine how long and how frequently you should attend your physical therapy sessions.<\/p>\n\n\n\n<p>Our therapist will then use information from the assessment to develop your customized treatment plan. They\u2019ll explain the details of your plan and offer any relevant information to help you understand why your treatment plan will be effective.<\/p>\n\n\n\n<p>If you\u2019re struggling with pain or mobility limitations, your first session will likely include some hands-on treatments to address these concerns, such as manual therapy or other modalities.<\/p>\n\n\n\n<p>Your therapist may also give you home exercises to help support your progress in therapy.<\/p>\n\n\n\n<p>After your first session, you\u2019ll arrange the remaining sessions at the front desk before leaving. During those subsequent physical therapy sessions, we\u2019ll build on the initial evaluation to create the most significant impact possible. Our goal will be to help you recover quickly and achieve meaningful, lasting results.<\/p>\n\n\n\n<p>Our <a href=\"https:\/\/gopt.us\/kearney\/physical-therapy-clinic\/central-ave-kearney-ne\/\">Central Ave<\/a> and <a href=\"https:\/\/gopt.us\/kearney\/physical-therapy-clinic\/2nd-ave-kearney-ne\/\">2nd Ave<\/a> Kearney, NE therapists will keep a detailed record of their findings and treatment plan and can provide those to any medical professional of your choosing.<\/p>\n\n\n\n<p>Communicating openly and honestly with your physical therapist throughout each session is essential, as is sharing any concerns or questions you may have. This will help ensure the most effective treatment and a positive experience. We genuinely want to listen, understand your concerns, and provide you with the best possible solution!<\/p>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Want to save time?<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Fill your forms out beforehand!<\/h3>\n\n\n\n<p>If you wish to save time on your first visit, please download, print and complete your intake paperwork. Be sure to bring them with you to your appointment. If you do not have time to print them ahead of time, you should arrive at least 25 minutes early to give yourself plenty of time to finish them before your appointment.<\/p>\n\n\n<div class=\"patient-form-listing justify-content-start\"><div class=\"patient-form-item text-center cell-sm-6 cell-md-4\"><div class=\"form-image\"><span class=\"form-number\">1<\/span><picture><img decoding=\"async\" src=\"https:\/\/gopt.us\/kearney\/wp-content\/themes\/kearney-physical\/assets\/src\/images\/letterhead-pdf.png\" alt=\"Patient Intake Form\" \/><\/picture><\/div><div class=\"form-content\"><h3>Patient Intake Form<\/h3><div class=\"btn-center\"><a class=\"btn\" target=\"_blank\" href=\"https:\/\/gopt.us\/kearney\/wp-content\/uploads\/sites\/7\/2024\/05\/Kearney-Physical-Therapy-Patient-Info-Form.pdf\" role=\"button\">Download &#038; Print<\/a><\/div><\/div><\/div><div class=\"patient-form-item text-center cell-sm-6 cell-md-4\"><div class=\"form-image\"><span class=\"form-number\">2<\/span><picture><img decoding=\"async\" src=\"https:\/\/gopt.us\/kearney\/wp-content\/themes\/kearney-physical\/assets\/src\/images\/letterhead-pdf.png\" alt=\"Patient Consent Form\" \/><\/picture><\/div><div class=\"form-content\"><h3>Patient Consent Form<\/h3><div class=\"btn-center\"><a class=\"btn\" target=\"_blank\" href=\"https:\/\/gopt.us\/kearney\/wp-content\/uploads\/sites\/7\/2024\/05\/Consent-Form_CNRS-11-30-20.pdf\" role=\"button\">Download &#038; Print<\/a><\/div><\/div><\/div><\/div>\n\n\n<p><em><strong><a href=\"https:\/\/gopt.us\/kearney-therapy\/\/physical-therapist-appointment\/\">At Go Physical Therapy, we are here to help you make the most of your physical therapy sessions. Contact us today!<\/a><\/strong><\/em><\/p>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n<section class=\"appointment-steps-section\"><div class=\"container\"><h3>Your Next Steps\u2026<\/h3><div class=\"appointment-steps-wrapper\"><ol class=\"appointment-steps-listing\"><li class=\"appointment-steps-item\"><p> Request An Appointment<\/p><\/li><li class=\"appointment-steps-item\"><p>Receive A Custom Treatment Plan<\/p><\/li><li class=\"appointment-steps-item\"><p>Work Hard and Progress In Your Recovery<\/p><\/li><li class=\"appointment-steps-item\"><p>Recover &amp; Enjoy Life Pain-Free!<\/p><\/li><\/ol><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"255\" height=\"300\" viewBox=\"0 0 255 300\"> <path role=\"presentation\" d=\"M219.014,300a9.53,9.53,0,0,1-5.528-1.723l-26.356-18.4a9.532,9.532,0,1,1,10.958-15.6l12.06,8.419V19.047H9.523A9.523,9.523,0,0,1,9.523,0H219.729a9.523,9.523,0,0,1,9.523,9.523s0,.01,0,.015,0,.01,0,.015v262.2l10.716-7.481a9.533,9.533,0,1,1,10.958,15.6l-24.579,17.159A11.387,11.387,0,0,1,219.1,300Z\"\/> <\/svg><\/div><\/div><div class=\"appointment-block has-media\" style=\"background-image: url(https:\/\/gopt.us\/kearney\/wp-content\/uploads\/sites\/7\/2024\/08\/balance-mobility-background-request-appointment-hastings-ne.png)\"><div class=\"container\"><div class=\"appointment-block-wrapper\"><h4>Start Your Road To Recovery Today!<\/h4><div class=\"appointment-button\"><a href=\"https:\/\/gopt.us\/kearney\/physical-therapist-appointment\/\" target=\"_self\" role=\"button\" aria-label=\"Request Appointment\" class=\"btn\">Request Appointment<\/a><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"<p>Preparing for Your First Appointment What to Expect and How to Prepare The team is committed to finding the root cause of your condition and developing a treatment plan that addresses your needs and helps you achieve your goals. 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