Rehabilitation Services at OakBend Medical Center strives to provide each and every patient with personalized care and attention throughout their scheduled appointment time. In order to maintain this high level of care, it is very important that all patients attend their scheduled appointment time. If an appointment is scheduled but not attended, it takes a valuable appointment time away from other patients who have made it a priority to work towards their physical therapy goals. "No Show" is missing a scheduled physical therapy appointment without a call prior to that appointment to inform Rehabilitation Services at Oakbend . A"cancellation" is canceling a scheduled physical therapy appointment without giving 24 hours' notice. A " reschedule" is calling 24 hours prior to a scheduled physical therapy appointment to change that appointment to a different timeor day because of a conflict.
__ If a patient arrives more than 15 minutes late for their scheduled appointment, they may be asked to wait until the physical therapy staff can accommodate their late arrival 01 may be asked to reschedule their appointment.
__ If a patient "No Show" for more than one appointment, they will be seen when the physical therapy staff can accommodate their treatment without affecting other patient's quality of care.
__ If a patient "Cancels" any three appointments without giving 24 hours' notice to our staff, they will be seen when the physical therapy staff can accommodate their treatment without affecting other patient's quality of care.
__ After any three "No Shows or Cancellations" Rehabilitation Services at OakBend Medical Center reserves the right to discharge the patient from physical therapy. Our staff will inform the referring physician of the patient's non-compliance with attending their prescribed physical therapy. The patient must obtain a new prescription for physical therapy from their physician before being able to return.
We understand true medical emergencies do occasionally arise when an appointment cannot be kept and adequate notice is not possible. These situations will be considered on a case by case basis.
Medical History (Please check all that apply)
Heart Disease/ A Fib
Hearing/ Visual Impaired
High Blood Pressure
How and when did the injury or problem occur?
Please rate your pain using a 0-10 scale
0 = no pain at all, 5 = pain interferes with daily tasks, 10 = worst pain you can imagine
Worst pain since onset?
Physical Therapist’s Comments
Identified needs for community resources: Child/Youth Senior Adult Support Groups
Plans to address special learning factors/barriers (as identified):
Entire Medical Record
History and Physical
Emergency Room Record
Physician Progress Note