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Skills and Procedures Form - Physical Medicine & Rehabilitation
General Medical Responsibility
Inpatient
Outpatient
General Rehab Patient Management
Inpatient
Outpatient
Cardiac rehab
Pediatric rehab
Specific Disease Management
Post-CVA
Traumatic brain injury
Brain tumor
Amputations
Rehab orthopedics
Spinal cord injury
Musculoskeletal conditions
Chronic pain
Speech and hearing disorders
Sports medicine
Procedures
Please list the approximate number performed within the past 24 months
Electromyography
Nerve conduction studies
Injections
Epidural
Blocks
Joint
Trigger points
Stress reduction / relaxation training
Application of physical agents
Please list any limitations or comments on information provided above:
I affirm that all information provided on this page is true and accurate.
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Date
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