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PT daily report

f you are a contractor, please be sure to complete this after each shift to assure proper payment.
  • MM slash DD slash YYYY
  • Daily VisitEvaluationsCancelled/ No ShowDischarge 
    Staff PT: Please list number Contractors: Please list Name
  • Adverse eventGoogle ReviewYelp Review 
    Please complete all that apply. An adverse event is anything that occurred that which can result in a negative impact on a patient, the therapist, or the business. All falls must be reported even with no injury. Please list the name of the person you asked to leave a review for proper credit.

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