U.S. Department of Health and Human Services

FTP Files

\ Templates \ TIU Note Templates \ By Clinic \ PT-Rehab

Type	Name	Size	Last Modified

file	Cass Lake - Physical Therapy Daily Encounter.txml	61709 60.3 KB	May 23, 2019 9:50:35 AM
file	Cass Lake - PT EVAL.txml	115764 113 KB	May 23, 2019 9:50:35 AM
file	Cass Lake - PT ProgressDischarge Note.txml	36743 35.9 KB	May 23, 2019 9:50:35 AM
file	Cass Lake - PT Request.txml	18115 17.7 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB ANKLE.txml	13950 13.6 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB ASSESS GERIATRIC shared.txml	4489 4.38 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB BA CLINIC.txml	4628 4.52 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB CERVICALTHORACIC.txml	15643 15.3 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB CVA.txml	16666 16.3 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB DISCHARGE SUMMARY.txml	5610 5.48 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB DISCHARGE.txml	3635 3.55 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB ELBOW.txml	12216 11.9 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB FOLLOW UP.txml	7978 7.79 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB GEN EVAL.txml	9976 9.74 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB GEN.txml	3918 3.83 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB GENERAL EQUIPSUPPLIES.txml	4080 3.98 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB HAND.txml	17126 16.7 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB HIP.txml	29472 28.8 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB KNEE.txml	14321 14.0 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB LUMBARPELVIS.txml	15540 15.2 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB OT UE.txml	30053 29.3 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB PEDS.txml	25410 24.8 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB PROGRESS.txml	4373 4.27 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB SCIC.txml	8309 8.11 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB SHOULDER.txml	24586 24.0 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB SPINE.txml	21566 21.1 KB	May 23, 2019 9:50:35 AM
file	Fort Defiance - REHAB WELL EVAL.txml	9311 9.09 KB	May 23, 2019 9:50:34 AM
file	Fort Defiance - REHAB WELLNESS.txml	7327 7.16 KB	May 23, 2019 9:50:34 AM
file	Fort Defiance - REHAB WHEELCHAIR CLINIC.txml	4383 4.28 KB	May 23, 2019 9:50:34 AM
file	Fort Defiance - REHAB WOUND CARE.txml	14896 14.5 KB	May 23, 2019 9:50:34 AM
file	Gila River - Physical Therapy Evaluation.txml	6365 6.22 KB	May 23, 2019 9:50:34 AM
file	Gila River - PT Eval.txml	9263 9.05 KB	May 23, 2019 9:50:34 AM
file	Kotzebue - BACK ASSESSMENT(1).txml	32299 31.5 KB	May 23, 2019 9:50:34 AM
file	Kotzebue - PHYSICAL THERAPY(1).txml	1832 1.79 KB	May 23, 2019 9:50:34 AM
file	Parker - INPATIENT PROGRESS NOTE Form.doc	69120 67.5 KB	May 23, 2019 9:50:34 AM
file	Parker - PT ANKLE.txml	12607 12.3 KB	May 23, 2019 9:50:34 AM
file	Parker - PT Assist Device Assmnt.txml	11433 11.2 KB	May 23, 2019 9:50:34 AM
file	Parker - PT CERVICALTHORACIC.txml	17108 16.7 KB	May 23, 2019 9:50:34 AM
file	Parker - PT Consult.txml	6351 6.20 KB	May 23, 2019 9:50:34 AM
file	Parker - PT CVA.txml	16602 16.2 KB	May 23, 2019 9:50:34 AM
file	Parker - PT DISCHARGE.txml	2997 2.93 KB	May 23, 2019 9:50:34 AM
file	Parker - PT ELBOW.txml	10655 10.4 KB	May 23, 2019 9:50:34 AM
file	Parker - PT EquipSvcsSup.txml	3827 3.74 KB	May 23, 2019 9:50:34 AM
file	Parker - PT FollowUp.txml	9118 8.90 KB	May 23, 2019 9:50:34 AM
file	Parker - PT Gen Eval.txml	8265 8.07 KB	May 23, 2019 9:50:34 AM
file	Parker - PT HAND.txml	15799 15.4 KB	May 23, 2019 9:50:33 AM
file	Parker - PT HIP.txml	31315 30.6 KB	May 23, 2019 9:50:33 AM
file	Parker - PT INPT DC Summary Screens.doc	104448 102 KB	May 23, 2019 9:50:33 AM
file	Parker - PT INPT DC Summary.txml	12273 12.0 KB	May 23, 2019 9:50:33 AM
file	Parker - PT INPT Initial Function Assessment Screens.doc	209408 205 KB	May 23, 2019 9:50:33 AM
file	Parker - PT INPT Initial Function Assessment.txml	27326 26.7 KB	May 23, 2019 9:50:32 AM
file	Parker - PT INPT Progress Note Screens.doc	162816 159 KB	May 23, 2019 9:50:33 AM
file	Parker - PT INPT Progress Note.txml	11086 10.8 KB	May 23, 2019 9:50:32 AM
file	Parker - PT KNEE.txml	12002 11.7 KB	May 23, 2019 9:50:32 AM
file	Parker - PT LUMBARPELVIS.txml	14153 13.8 KB	May 23, 2019 9:50:32 AM
file	Parker - PT Lysholm Knee Rating System.txml	7198 7.03 KB	May 23, 2019 9:50:31 AM
file	Parker - PT Osteoporosis Screening.txml	5016 4.90 KB	May 23, 2019 9:50:32 AM
file	Parker - PT PEDS.txml	22906 22.4 KB	May 23, 2019 9:50:31 AM
file	Parker - PT Performance Test Protocol - Ankle.txml	6252 6.11 KB	May 23, 2019 9:50:31 AM
file	Parker - PT SHOULDER.txml	26642 26.0 KB	May 23, 2019 9:50:31 AM
file	Parker - PT SPINE.txml	27798 27.1 KB	May 23, 2019 9:50:31 AM
file	Parker - PT Upper Extremity.txml	28908 28.2 KB	May 23, 2019 9:50:31 AM
file	Rapid City Okiciyapi - Intake Process part 1.txml	2928 2.86 KB	May 23, 2019 9:50:30 AM
file	Rapid City Okiciyapi - Intake Process part 2.txml	2896 2.83 KB	May 23, 2019 9:50:30 AM
file	Rapid City Okiciyapi - One to one Training.txml	3611 3.53 KB	May 23, 2019 9:50:30 AM
file	Rapid City Okiciyapi - Resistance Training Orientation.txml	5052 4.93 KB	May 23, 2019 9:50:30 AM
file	Rapid City Okiciyapi - Specific Services.txml	3737 3.65 KB	May 23, 2019 9:50:29 AM
file	Riverside - Chiropractic Encounter.txml	10131 9.89 KB	May 23, 2019 9:50:29 AM
file	Riverside - Chiropractic Template.txml	23813 23.3 KB	May 23, 2019 9:50:29 AM
file	SSMT - PT Consult.txml	4282 4.18 KB	May 23, 2019 9:50:29 AM
file	Whiteriver - Physical Therapy.txml	434796 425 KB	May 23, 2019 9:50:29 AM
file	Zuni - PT Carpal Tunnel.txml	8710 8.51 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Did not keep appt.txml	2421 2.36 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Eval and Treatment.txml	7138 6.97 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Eval back.txml	1814 1.77 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Evaluation.txml	5659 5.53 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Lysholm Knee Rating System.txml	7202 7.03 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Neck Disability Index.txml	5048 4.93 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Osteoporosis Screening Consult.txml	4639 4.53 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Oswestry Low Back Pain Questionnaire.txml	11678 11.4 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Patient Letter.txml	3448 3.37 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Performance Test Protocol.txml	6256 6.11 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Screening Form.txml	7510 7.33 KB	May 23, 2019 9:50:28 AM
file	Zuni - PT Wound Care Follow Up.txml	6663 6.51 KB	May 23, 2019 9:50:28 AM
file	Zuni - Rehabilitation Dept Medical History Screening Form.txml	5990 5.85 KB	May 23, 2019 9:50:28 AM