Physical Therapy Sample Reports-Books Download

Physical Therapy Sample Reports
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Physical Therapy Page 1 of 2, Patient Name Flintstone Fred Date 01 17 08. Medical Record DOB 08 02 61, Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Onset Date Code Description, Primary Diagnosis 12 25 06 844 2 Sprain Of Cruciate Ligament Of Knee. Other Diagnosis 07 11 06 781 2 Abnormality Of Gait. Time In 10 00 AM Time Out 11 00 AM, PT Interventions and CPT Codes Consisted of CPT Code Modifiers Minutes Units.
Gait Training or Stair Climbing Therapeutic Procedure 1 Areas 97116 59 15 1. Therapeutic Activities Direct patient contact 97530 28 2. Ultrasound Modality to 1 Areas Each 15 Min 97035 12 1. Total Minutes 55 Total Timed Minutes 55 Total Untimed Minutes 0. Total Units 4 Total Timed Units 4 Total Untimed Units 0. Pain In 3 Pain Out 0,Progressive Exercises Quantity Unit Sets Reps. Knee general strengthening and range of motion right 3 lbs 3 15. Knee Gluteal sets with heel elevated right 10 secs 2 10. Knee hamstring sets right 10 secs 2 10, Knee knee extension seated right 4 lbs 3 15. Impairment Observations , The right knee is swollen and painful with palpation movement and weight bearing 25 on the right lower extremity Edema now at. 46cm 48cm and 38cm Ultrasound to right knee 1 5 watts cm2 BP 120 80 . Characterstics and Analysis , Mr Flinstone is improving but continues to have difficulty in ambulation and requires moderate assistance with crutches on uneven terrain. to maintain 25 weight bearing status for the right lower extremity Due to this limitation he is not able to propel his car or climb into the. crane for work at the quarry , Specific Joints, Note Blank indicates Strength Range of Motion are within functional limits or not tested .
Current Level Goal, Strength Active ROM Passive ROM Strength Active ROM Passive ROM. Knee Right Left Right Left Right Left Knee Right Left Right Left Right Left. Flexion 3 5 5 5 71 145 85 145 Flexion 5 5 5 5 135 145 140 145 . Extension 2 5 5 5 20 0 15 0 Extension 5 5 5 5 0 0 0 0 . Current Plan Three times weekly,Patient s response to PT Interventions Good. Patient s progress toward established goals Good, 3 50 05 PM. Thomas Hook PT Date Time, State License 310, Physical Therapy Initial Evaluation Page 1 of 2. Patient Name Flintstone Frederick Date 01 15 07, Medical Record 123 DOB 08 02 61.
Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Medicare 111 22 2333A Visits From SOC 1, Certification From 01 15 07 Certification To 02 15 07. Service From 01 15 07 Service To 03 15 07, Hospitalized From 12 26 06 Hospitalized To 12 28 06. Onset Date Code Description, Primary Diagnosis 12 25 06 844 2 Sprain Of Cruciate Ligament Of Knee. Other Diagnosis 07 11 07 781 2 Abnormality Of Gait. Preferred Practice Pattern Musculoskeletal E Impaired joint mobility motor function muscle performance ROM associated w localized. inflammation, Systems Review History This 45 y o male presents with a diagnosis of right anterior cruciate ligament sprain with an onset date of.
12 25 06 when he fell down the porch steps while carrying packages He is seen initially on this date for. evaluation and treatment by this therapist due to persistent pain and limited ambulation Previous medical history. of insignificance The patient is motivated to participate in treatment to achieve his functional goal of propelling. his car and returning to work in rock quarry , Current Level Goals. Level of Ambulation Even Crutches Supervision Standby assistance 100 Level of Ambulation Even No assistive device Independent with difficulty. Feet 1 000 , Level of Ambulation Uneven Crutches Extensive Moderate assistance 35 Level of Ambulation Uneven Straight cane Independent 100 Feet. StairClimbing Crutches Extensive Moderate assistance 4 Steps Stair Climbing Straight cane Independent 15 Steps. Tolerance to IADLs Moderate Severe pain and limitation during and or after Tolerance to IADLs No pain nor limitation during and or after a specific IADL. a specific IADL affecting performance affecting performance. Tolerance to Work Activities Moderate Severe pain and limitation in a Tolerance to Work Activities No pain and limitation in a specific work activity. specific work activity affecting performance affecting performance. Physical Dynamic Balance 1 5 Berg Balance Scale Scored 0 12 High risk Physical Dynamic Balance 5 5 Berg Balance Scale Scored 50 56 Low risk. of falls of falls, Pain Joint Pain Knee Right At Rest 5 10 With Activity 8 10 Dull Goals for Pain Decrease pain at rest and during weight bearing activities to. Cramping Radiating 0 10 , Impairment Goals Short Term Functional Goals Long Term. Joint inflammation or restriction pain are reduced by 50 in 2 weeks Ambulation stair climbing are improved to prior level of function. Pain is decreased by 50 in 2 weeks Work performance in related activities is improved to prior level of function. Functional characteristics Mr Flintstone is having difficulty in ambulation and requires moderate assistance with crutches on uneven terrain. and analysis to maintain 25 weight bearing status for the right lower extremity Due to this limitation he is not able to propel. his car or climb into the crane for work at the quarry . Initial Eval Level Goal, Strength Active ROM Passive ROM Strength Active ROM Passive ROM.
Knee Right Left Right Left Right Left Knee Right Left Right Left Right Left. Flexion 3 5 5 5 71 145 85 145 Flexion 5 5 5 5 135 145 140 145 . Extension 2 5 5 5 20 0 15 0 Extension 5 5 5 5 0 0 0 0 . Knee Comments Joint play is moderate severely limited in posterior and forward movements of tibia on femur and medial and. lateral translation of tibia on femur , Physical Therapy Initial Evaluation Page 2 of 2. Patient Name Flintstone Frederick Date 01 15 07, Medical Record 123 DOB 08 02 61. Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Impairment Observations, The right knee is swollen and painful with palpation movement and weight bearing 25 on the right lower extremity Strength and range of. motion in right knee is impaired and will be assessed with each treatment . Interventions CPT Code , Physical Therapy Evaluation 97001.
Gait Training or Stair Climbing Therapeutic Procedure 1 Areas 97116. Therapeutic Exercises Therapeutic Procedure 1 Areas 97110. Ultrasound Modality to 1 Areas Each 15 Min 97035, Frequency of PT Three times weekly. Duration of PT 6 weeks,James L Smith MD Date Thomas Hook PT Date. I certify the need for these services furnished under this plan of treatment. while under my care State License 310, Physical Therapy Page 1 of 3. Patient Name Flintstone Frederick Date 01 15 07, Medical Record 123 DOB 08 02 61. Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631.
Patient Information, Address 123 Opry Way Physician James L Smith MD. Physician 123, Nashville Tennessee 37203, Occupation Engineer of Approved Visits 12. Gender Male Medicare 111 22 2333A, Contact Person Wilma Flintstone Medicaid . Rehabilitation Information History, Onset Date Code Description. Primary Diagnosis 12 25 06 844 2 Sprain Of Cruciate Ligament Of Knee. Other Diagnosis 07 11 07 781 2 Abnormality Of Gait. Preferred Practice Pattern Musculoskeletal E Impaired joint mobility motor function muscle performance ROM associated w localized. inflammation, Recent Physical Therapy Outpatient rehab clinic within the last sixty days.
Prior Functional Status Independent with no pain or limitation in ambulation IADL s work or recreation. Required Equipment Ace wrap for knee Crutches, Weight Bearing Status Right lower extremity 25 partial weight bearing. Safety Measures Ambulate with an assistive device assistance of another person. Instruct patient and or family in safety precautions. Progressive activity as tolerated, Rehabilitative Prognosis Excellent rehab potential to reach and maintain prior level of function. Mental Status Alert and oriented in all spheres cooperative and motivated. Concerns that led to PT Decreased functional ability secondary to pain or increased pain. System Review History This 45 y o male presents with a diagnosis of right anterior cruciate ligament sprain with an onset date of. 12 25 06 when he fell down the porch steps while carrying packages He is seen initially on this date for. evaluation and treatment by this therapist due to persistent pain and limited ambulation Previous medical history. of insignificance The patient is motivated to participate in treatment to achieve his functional goal of propelling. his car and returning to work in rock quarry , Patient has a history of behavioral health risks No. Patient Caregiver concur with established goals Yes. Patient is aware of and understands his her diagnosis and prognosis Yes. Functional Measures,Ambulation Even Terrain Distance. Current Level Crutches Supervision Standby assistance 100 Feet. Goal No assistive device Independent with difficulty 1 000 . Physical Therapy Page 2 of 3, Patient Name Flintstone Frederick Date 01 15 07.
Medical Record 123 DOB 08 02 61, Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Ambulation Uneven Terrain Distance, Current Level Crutches Extensive Moderate assistance 35 Feet. Goal Straight cane Independent 100 Feet,Stair Climbing Steps. Current Level Crutches Extensive Moderate assistance 4 Steps. Goal Straight cane Independent 15 Steps,Tolerance to IADLs.
Current Level Moderate Severe pain and limitation during and or after a specific IADL affecting performance. Goal No pain nor limitation during and or after a specific IADL affecting performance. Tolerance to Work Activities, Current Level Moderate Severe pain and limitation in a specific work activity affecting performance. Goal No pain and limitation in a specific work activity affecting performance. Functional characteristics Mr Flintstone is having difficulty in ambulation and requires moderate assistance with crutches on uneven terrain. and analysis to maintain 25 weight bearing status for the right lower extremity Due to this limitation he is not able to propel. his car or climb into the crane for work at the quarry . Impairment Goals Short Joint inflammation or restriction pain are reduced by 50 in 2 weeks. Term Pain is decreased by 50 in 2 weeks, Functional Goals Long Ambulation stair climbing are improved to prior level of function. Term Work performance in related activities is improved to prior level of function. Physical Findings, Site Joint Pain Knee Right At Rest 5 10 With Activity 8 10 Dull Cramping Radiating. Exacerbating Factors At rest interrupting sleep Weight bearing beyond recommendations Extended periods of. time without joint elevation, Relieving Factors Ice to the affected area Elevation of effected extremity. Goals for Pain Decrease pain at rest and during weight bearing activities to 0 10 . Pain Medication Non Prescription, Additional Comments Mr Flintstone is taking Advil 3 times daily for pain .
Dynamic Balance, Current Level 1 5 Berg Balance Scale Scored 0 12 High risk of falls. Goal 5 5 Berg Balance Scale Scored 50 56 Low risk of falls. Special Orthopedic Tests of Extremities, Knee Anterior drawer test Indicates a tear of the anterior cruciate ligament Positive. Knee Apley compression test Indicates a meniscus tear Negative. Location Joint knee Right, Finding Edema generalized and moderate. Location Joint knee Right, Finding Joint restriction moderate. Location Joint knee Right, Finding Pain moderate with palpation.
Physical Therapy Page 3 of 3, Patient Name Flintstone Frederick Date 01 15 07. Medical Record 123 DOB 08 02 61, Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Location Knee Joint Line, Right Side 52 cm Left Side 44 cm. Location Knee Joint Line 16 cm proximal, Right Side 48 cm Left Side 38 cm.
Initial Eval Level Goal, Strength Active ROM Passive ROM Strength Active ROM Passive ROM. Knee Right Left Right Left Right Left Knee Right Left Right Left Right Left. Flexion 3 5 5 5 71 145 85 145 Flexion 5 5 5 5 135 145 140 145 . Extension 2 5 5 5 20 0 15 0 Extension 5 5 5 5 0 0 0 0 . Knee Comments Joint play is moderate severely limited in posterior and forward movements of tibia on femur and medial and. lateral translation of tibia on femur ,Impairment Observations. The right knee is swollen and painful with palpation movement and weight bearing 25 on the right lower extremity Strength and range of. motion in right knee is impaired and will be assessed with each treatment . Interventions CPT Code , Physical Therapy Evaluation 97001. Gait Training or Stair Climbing Therapeutic Procedure 1 Areas 97116. Therapeutic Exercises Therapeutic Procedure 1 Areas 97110. Ultrasound Modality to 1 Areas Each 15 Min 97035, Frequency of PT Three times weekly. Duration of PT 6 weeks, Thomas Hook PT Date, State License 310.
Physical Therapy Page 1 of 3, Patient Name Flintstone Frederick Date 02 15 07. Medical Record 123 DOB 08 02 61, Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Visits From SOC 3, Certification From 02 15 07 Certification To 03 15 07. Service From 01 15 07 Service To 03 15 07, Patient Information.
Address 123 Opry Way Physician James L Smith MD, Physician 123. Nashville Tennessee 37203, Occupation Engineer of Approved Visits 12. Gender Male Medicare 111 22 2333A, Contact Person Wilma Flintstone Medicaid . General Information, Onset Date Code Description, Primary Diagnosis 12 25 06 844 2 Sprain Of Cruciate Ligament Of Knee. Other Diagnosis 07 11 07 781 2 Abnormality Of Gait. There has been a change in Diagnosis No,There has been a change in Support System No.
Patient is making steady progress toward established goals Yes. There has been adequate communication with all health care staff involved in the implementation of the Plan of Care Yes. Patient Caregiver continues to concur with proposed TX Plan Yes. Level of Patient Caregiver s satisfaction with Therapy High. Additional Comments Mr Flintstone has had the flu for over two weeks of the last treatment period requiring a reduction in frequency. to twice weekly He is now able to tolerate three times a week of therapy . Functional Measures,Ambulation Even Terrain Distance. Initial Crutches Supervision Standby assistance 100 Feet. Current Level No assistive device Limited Contact guard assistance 200 Feet. Goal No assistive device Independent with difficulty 1 000 . Ambulation Uneven Terrain Distance, Initial Crutches Extensive Moderate assistance 35 Feet. Current Level Straight cane Limited Contact guard assistance 100 Feet. Goal Straight cane Independent 100 Feet,Stair Climbing Steps. Initial Crutches Extensive Moderate assistance 4 Steps. Current Level Straight cane Limited Minimal assistance with railing 10 Steps. Goal Straight cane Independent 15 Steps, Physical Therapy Page 3 of 3. Patient Name Flintstone Frederick Date 02 15 07, Medical Record 123 DOB 08 02 61.
Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Initial Eval Level Current Level, Strength Active ROM Passive ROM Strength Active ROM Passive ROM. Knee Right Left Right Left Right Left Knee Right Left Right Left Right Left. Flexion 3 5 5 5 71 145 85 145 Flexion 4 5 5 5 112 145 130 145 . Extension 2 5 5 5 20 0 15 0 Extension 4 5 5 5 8 0 5 0 . Knee Comments Joint play is now only mildly limited in posterior and forward movements of tibia on femur . Impairment Observations, The right knee edema and pain are greatly reduced Right knee range of motion and strength are increased allowing for improved ambulation. and weight bearing as tolerated on the right lower extremity . Interventions CPT Code , Gait Training or Stair Climbing Therapeutic Procedure 1 Areas 97116. Therapeutic Exercises Therapeutic Procedure 1 Areas 97110. Ultrasound Modality to 1 Areas Each 15 Min 97035, Frequency of PT Three times weekly.
Duration of PT 4 weeks, Thomas Hook PT Date, State License 310. Physical Therapy Page 2 of 3, Patient Name Flintstone Frederick Date 02 15 07. Medical Record 123 DOB 08 02 61, Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Tolerance to Work Activities, Initial Moderate Severe pain and limitation in a specific work activity affecting performance.
Current Level Mild Moderate pain and limitation in a specific work activity affecting performance. Goal No pain and limitation in a specific work activity affecting performance. Functional characteristics Mr Flintstone is making progress in ambulation as he is able to ambulate with straight cane on uneven terrain . and analysis and with no assistive device on even terrain He is still unable to safely perform the duties of his job due to. limitations in ambulatory status , Impairment Goals Short Joint inflammation or restriction is reduced by 50 in 2 weeks Met. Term Pain is decreased by 50 in 2 weeks Met, Functional Goals Long Ambulation stair climbing are improved to prior level of function. Term Work performance in related activities is improved to prior level of function. Physical Findings, Site Joint Pain Knee Right At Rest 2 10 With Activity 5 10 Sharp Dull Burning Electrical Cramping . Exacerbating Factors Walking Standing for 3 minutes or more Extended periods of time without joint elevation. Relieving Factors Ice to the affected area Elevation of effected extremity. Goals for Pain Decrease pain at rest and during weight bearing activities to 0 10 . Pain Medication Non Prescription, Additional Comments Mr Flintstone continues to take Advil 3 times daily for pain . Dynamic Balance, Initial 1 5 Berg Balance Scale Scored 0 12 High risk of falls.
Current Level 4 5 Berg Balance Scale Scored 37 49 Moderate to low risk of falls. Goal 5 5 Berg Balance Scale Scored 50 56 Low risk of falls. Special Orthopedic Tests of Extremities, Knee Anterior drawer test Indicates a tear of the anterior cruciate ligament Negative. Knee Apley compression test Indicates a meniscus tear Negative. Location Joint knee Right, Finding Edema generalized and mild. Location Joint knee Right, Finding Skin temperature cool to touch. Location Joint knee Right, Finding Pain mild with palpation. Location Knee Joint Line, Right Side 40 cm Left Side 37 cm.
Location Knee Joint Line 4 cm proximal, Right Side 46 cm Left Side 43 cm. Physical Therapy Page 1 of 2, Patient Name Flintstone Frederick Date 03 15 07. Medical Record 123 DOB 08 02 61, Account Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Patient Information, Address 123 Opry Way Physician James L Smith MD.
Physician 123, Nashville Tennessee 37203, Occupation Engineer of Approved Visits 12. Gender Male Medicare 111 22 2333A, Contact Person Wilma Flintstone Medicaid . Discharge Information, Onset Date Code Description. Primary Diagnosis 12 25 06 844 2 Sprain Of Cruciate Ligament Of Knee. Other Diagnosis 07 11 07 781 2 Abnormality Of Gait. Preferred Practice Pattern Musculoskeletal E Impaired joint mobility motor function muscle performance ROM associated w localized. inflammation, Reasons for Discharge Goals Met Maximal Level Reached. Patient Caregiver was given proper notification of Discharge Yes. No further Physical Therapy intervention is indicated at this time in this setting Yes. Patient s Physician has been notified that patient has been discharged from Physical Therapist s care Yes. Functional Measures,Ambulation Even Terrain Distance.
Initial Crutches Supervision Standby assistance 100 Feet. Goal No assistive device Independent with difficulty 1 000 . Final Level No assistive device Independent Unlimited. Ambulation Uneven Terrain Distance, Initial Crutches Extensive Moderate assistance 35 Feet. Goal Straight cane Independent 100 Feet, Final Level Straight cane Independent 100 Feet. Stair Climbing Steps, Initial Crutches Extensive Moderate assistance 4 Steps. Goal Straight cane Independent 15 Steps, Final Level No assistive device Independent with railing 15 Steps. Tolerance to Work Activities, Initial Moderate Severe pain and limitation in a specific work activity affecting performance.
Goal No pain and limitation in a specific work activity affecting performance. Final Level No pain and limitation in a specific work activity affecting performance. Functional characteristics Mr Flintstone has made excellent progress and is now independent and safe in ambulation on even terrain He is. and analysis able to return to his job of crane operator at the rock quarry given additional time to climb into the crane cabin . Physical Therapy Page 2 of 2, Patient Name Flintstone Frederick Date 03 15 07. Medical Record 123 DOB 08 02 61, Account Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Functional Goals Long Ambulation stair climbing are improved to prior level of function Met. Term Work performance in related activities is improved to prior level of function Met. Physical Findings, Site Joint Pain Knee Right At Rest 0 10 With Activity 0 10 Sharp Dull Burning Electrical Cramping . Goals for Pain Decrease pain at rest and during weight bearing activities to 0 10 Goal Met. Pain Medication None,Dynamic Balance, Initial 1 5 Berg Balance Scale Scored 0 12 High risk of falls.
Goal 5 5 Berg Balance Scale Scored 50 56 Low risk of falls. Final Level 5 5 Berg Balance Scale Scored 50 56 Low risk of falls. Special Orthopedic Tests of Extremities, Knee Anterior drawer test Indicates a tear of the anterior cruciate ligament Negative. Knee Apley compression test Indicates a meniscus tear Negative. Location Joint knee Right, Finding Edema Resolved. Location Joint knee Right, Finding Skin temperature cool to touch. Location Knee Joint Line, Right Side 37 cm Left Side 37 cm. Location Knee Joint Line 4 cm proximal, Right Side 43 cm Left Side 43 cm.
Initial Eval Level Final Level, Strength Active ROM Passive ROM Strength Active ROM Passive ROM. Knee Right Left Right Left Right Left Knee Right Left Right Left Right Left. Flexion 3 5 5 5 71 145 85 145 Flexion 5 5 5 5 145 145 145 145 . Extension 2 5 5 5 20 0 15 0 Extension 5 5 5 5 0 0 0 0 . Impairment Observations, Range of motion and strength are functional in right knee and will continue to improve with use Pain and edema in right knee are resolved . Mr Flintstone has demonstrated competence and understanding of his discharge home exercise program . Interventions CPT Code , Discharge patient to care of self. Thomas Hook PT Date, State License 310, Page 1 of 1. Patient Name Flintstone Frederick Date 01 24 07,Medical Record 123 DOB 08 02 61.
Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Onset Date Code Description, Primary Diagnosis 12 25 06 844 2 Sprain Of Cruciate Ligament Of Knee. Other Diagnosis 07 11 07 781 2 Abnormality Of Gait. Physical Therapy Patient is too ill to tolerate the current frequency of therapy . Plan Orders Decrease therapy treatment sessions to two times weekly. Additional Comments Mr Flintstone has been battling the flu for a week now and for the next two weeks can only tolerate therapy twice. James L Smith MD Date Thomas Hook PT Date, I certify the need for these services furnished under this plan of treatment. while under my care State License 310, Physical Therapy Page 1 of 1. Patient Name Flintstone Frederick Date 01 19 07, Medical Record 123 DOB 08 02 61.
Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Onset Date Code Description, Primary Diagnosis 12 25 06 844 2 Sprain Of Cruciate Ligament Of Knee. Other Diagnosis 07 11 07 781 2 Abnormality Of Gait. Patient did not receive therapy today for the following reason . Patient request to not have therapy due to personal conflicts . Continue with 3 times weekly therapy, Patient is out of town on vacation . Thomas Hook PT Date, State License 310, Physical Therapy Page 1 of 1. Patient Name Flintstone Frederick Date 01 15 07, Medical Record 123 DOB 08 02 61.
Account 1234567892 Treating Clinician Thomas Hook PT. Provider Lakeside Rehabilitation, Provider 25489631. Onset Date Code Description, Primary Diagnosis 06 10 07 844 2 Sprain Of Cruciate Ligament Of Knee. Other Diagnosis 06 10 07 719 7 Difficulty in Walking. Date of Injury 12 25 06, Injured at Work Yes, Date of First Exam 12 27 06. Has Employer been notified Yes, Date last worked 12 25 06. Patient s Statement I slipped on the steps and twisted my knee when I fell . Is Diagnosis consistent with occupational causation or aggravation Yes. Is there any other condition that will impede or delay patient s recovery No. Physician s decision on May work but must adhere to following restrictions at this time. Patient s Work Status , Restrictions No excessive walking.
No Prolonged standing, No use of affected extremity. Additional Comments on Mr Flintstone is not able to safely perform the duties of his job due to his limitations in ambulation and weight. Work Related Injury bearing , Thomas Hook PT Date.


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