Physical therapists get a bad rap when it comes to pain. Sometimes pain is necessary for recovery, however, saying “no pain, no gain” goes too far. Although I’ve addressed the role of pain in therapy, and used the term productive and unproductive a thousand times related to pain, I never thought to put it down on paper (in cyberspace) quite that way until the other day.

Productive Pain

Generally encountered during an activity and no more than 20-30 minutes after a therapeutic activity. The activity that produced the pain also resulted in therapeutic benefit – increased range of motion, strength, or the ability to perform a new task.

Unproductive Pain

Generally encountered during an activity, may worsen during the activity, and carries on for longer than 30 minutes afterward. The activity that produced the pain also resulted in a worsening of your condition – diminished range of motion, decreased strength or the inability to perform a task that you could have performed otherwise.

Using Pain as a Tool for Recovery

Productive pain moves things along and results in faster recovery. Unproductive pain slows things down, and results in a prolonged recovery. Reporting pain is paramount to quick progress with therapy. Appointments can be condensed or spread out based on progress, so that optimum progress can occur with minimum time spent in the clinic.

At Terry Rehabilitation, each patient is expertly evaluated, each treatment plan is customized for that patient, and all treatment occurs one-on-one with a highly trained licensed professional.

Our rehabilitation programs include:

1. Hands-on manual therapy techniques – to quickly correct loss of motion
2. Supervised therapeutic exercises targeted to specific deficiencies
3. Modalities such as cold packs, heat, and electrical stimulation to reduce pain, inflammation, and to increase flexibility
4. Targeted home exercise programs that do not require special equipment
5. Restoration of functional strength and stability for daily activities
6. Work-specific or sport-specific rehabilitation

Contact us to schedule an initial evaluation. If physical therapy is recommended, we will contact your physician in writing regarding the recommended plan of care, allowing him or her to make the most informed decision possible for the care.

This is the best way that I can think of to explain how medical services are billed and paid for, and it’s by using something that everyone understands – a restaurant.

Imagine that you have a restaurant in a downtown area.  You set up a menu with prices based on what it costs you to provide the food and earn a reasonable profit.  You have to make sure that your menu prices are going to cover your expenses, even if you have only a few patrons.  The prices will be a little higher than one might expect, but if the food’s good, people that can pay will pay.  You get a few walk-ins each day, but not any large numbers at first.

A representative of several office buildings approaches you, all of which are more than a 1/2 mile away but are all owned by the same company.  They offer you a spot on the bulletin board in every building lobby in return for a 15% discount.  You estimate that these office workers could fill about 25% of your restaurant each lunch time, and you have almost no one else, so you agree to accept the discount if they present a card.

A representative of an office building right next door now approaches you.  They have 5,000 workers!  They tell you that they will put your name on their bulletin board – which only holds a few cards – if you agree to give their members a 30% discount off the menu prices.  You can bank on having the restaurant 3/4 full just from those workers, so you agree.

Now you have a really humming lunch hour, and because of the volume (your staff is working straight through without any empty seats) you’re making a profit.  However, your dinner seats sit empty.

You decide to go out and speak to several local organizations to get them to host their meetings at your restaurant.  You give them what would amount to a 45% discount, however, since you know in advance exactly what type and how much food and staff you’ll need, it’s a discount that’s easy to take.  You’ve even included the gratuities, so one check from each club (paid a week in advance) makes things really easy.

Wednesday nights are really slow, so everyone walking in the door that night gets 10% off the menu price, and groups of 5 or more get 15%, but you take the gratuity automatically to safeguard your wait staff from the cheapskates that show up those evenings.

Someone walks in from out of town, it’s Friday night, and they have a movie to catch.  They don’t want to walk from restaurant to restaurant, but they want a discount.  Since you’re at 95% capacity, you tell them the price is the price, and they stay and eat anyway.  The next diner comes in, is hungry, but has time to shop around.  You’re full and have a waiting list of 30 minutes.  You let him know that the new restaurant down the street needs patrons (and you can’t vouch for them) and you’ve heard that they will give a discount, even on a Friday night.

Pretty soon you have more patrons than you can handle.  Your food is the best in town.  You have plenty of people now offering to pay the full menu price, but are clogged with discounted patrons.  You increase your menu price and offer a nominal discount to a high-end downtown apartment building.  All dinner club meetings are now on Wednesday nights, and there is no longer a discount night for walk-in patrons.  You’ve also opened a catering service that charges 30% above menu prices.

You take what you’ve earned and send a portion to the local city rescue mission to feed their residents, and even send your cooks over twice a month to help out.  You’ve never refused to serve someone who was starving and had no money, and offered to assist them in finding a reasonable supply of food for subsistence.  Now the poor people of the area and seniors using meals on wheels are getting some of the best cooking in town free of charge.  You take some of the money that you’ve earned and increase the benefits for your employees, and you award a college tuition scholarship each semester to your most deserving employee.

Some in the area fault you for charging too much, and are upset that they cannot bring in their own drinks.  They say that your patrons pay more money for less food and wine, and that you could charge much less if you didn’t “waste” so much, or weren’t so “greedy.”

Since local law makes you liable for all drinks served on premises, regardless of the origin, you decide it’s smart for patrons to only drink what you have stocked in your own bar, staffed with one of the best bartenders in town.  You also point out that another restaurant down the street has very cheap menu prices, allows patrons to bring their own wine (under the table, of course), serves big, greasy meals, and is a little run-down generally.

People have options as to where they want to go – they can get basic food for basic money, or they can get better food and better service for more money.  You’d like everyone in the world to get the same food, presentation, service and drinks that you offer, but all of that costs more, requires more dedicated employees who are more passionate about their craft, and is not necessary for basic subsistence.  Those who want to pay very little for your services can join one of the clubs that meets in your restaurant – but they can only get that discount at that time, and have to make reservations and payment a week in advance.

The restaurants are health care providers, the office and apartment buildings are the insurance companies and networks, and the dinner clubs are the HMO plans.  The walk-in patrons from out of town are those that did not bother to obtain health insurance (but could have afforded it) or are utilizing an insurance without a network or that has a high risk of non-payment, court appearances, or other paperwork, such as automobile insurance, worker’s compensation, or personal injury lawsuits.

So what’s the point?  If you are wondering what you’re paying for or why you’re paying it, you have the right and obligation to ask – it’s your money!

At Terry Rehabilitation, each patient is expertly evaluated, each treatment plan is customized for that patient, and all treatment occurs one-on-one with a highly trained licensed professional.

Our rehabilitation programs include:

1. Hands-on manual therapy techniques – to quickly correct loss of motion
2. Supervised therapeutic exercises targeted to specific deficiencies
3. Modalities such as cold packs, heat, and electrical stimulation to reduce pain, inflammation, and to increase flexibility
4. Targeted home exercise programs that do not require special equipment
5. Restoration of functional strength and stability for daily activities
6. Work-specific or sport-specific rehabilitation

Contact us to schedule an initial evaluation. If physical therapy is recommended, we will contact your physician in writing regarding the recommended plan of care, allowing him or her to make the most informed decision possible for the care.

This is a very interesting article, and I think that any patient that is planning to undergo physical therapy should read through it.  After you’ve read it, I have a few (ok, more than a few) comments:

Can You Prove It?

Attempting to prove or disprove the effectiveness of “therapy” can be problematic.  Imagine a study of the effectiveness of therapy on knee pain and disability.  Pain and disability may due to a ligament tear, cartilage tear, or degenerative arthritis.  Therapy might consist of ultrasound treatments, hot packs, ice packs, electrical stimulation, exercises, or a combination of all or some of these treatments.  Measures of effectiveness might be a decrease in pain level, the ability to walk normally, the ability to return to sports, or a combination of any of those.  Due to the array of differing treatments, diagnoses, treatments and measures of effectiveness, determining effectiveness can be difficult, if not impossible.

Is Everything Under Control?

Ideally studies would always “control” for a specific diagnosis (or even a subset of that diagnosis), specific treatment (or a particular variation of a treatment), and establish a specific criterion for judging effectiveness. Such a study would include a large group of a subjects, and the study would either demonstrate or fail to demonstrate effectiveness when judged against a “control” group, that received no treatment, or that received a “sham” treatment.

My undergraduate field of study was physics, and it was very easy to control for all kinds of things experimentally.  However, when dealing with people it becomes more difficult.

It boils down to this: there are specific interventions in specific situations that we have been able to identify as effective.  There are types of interventions in specific situations that we can identify as effectiveThere are also treatments that are commonly utilized that do not have demonstrated effectiveness.  In some cases, there are studies that suggest certain treatments have no benficial effect.  These treatments may still be utilized, as they may demonstrate effectiveness in situations that have not been studied, or that may be very difficult to study.

A skilled therapist can utilize classification schemes to find patients that may achieve short term benefit from a treatment with little or no beneficial evidence.  For example, spinal traction has not been demonstrated generally to be effective in treatment of low back pain, however, when a patient has limited movement, a skilled therapist may be able to employ traction for 1-4 sessions and realize faster restoration of motion than without employing traction.

Compare These Approaches

Compare and contrast a chiropractor who utilizes spinal decompression – signing the patient up for a contract typically including 24 treatments at a cost of $3500 – to the physical therapist who, during an 8-visit course of therapy, employs spinal traction to quickly (in 1-3 sessions) restore a patient’s ability to move, achieving treatment goals and allowing the patient to make faster progress toward total resolution of their problem.

What Does Insurance Cover?

Insurers generally only cover “skilled” physical therapy. Skilled therapy means that it requires the specific training and expertise of a physical therapist to facilitate your recovery.  For example, you may be given specific exercises to perform to help resolve a problem, but those exercises should be altered, adapted, and changed to some extent each appointment, based on your status as of that day.  You may also require hands on treatment such as manual therapy and intensive stretching to assist you in recovery, and these should be things that you cannot do on your own, and are designed by a therapist for your specific situation.  Simply performing a set of exercises, or receiving the same series of treatments each time you come to the clinic is not skilled therapy.

By its nature, skilled therapy should result in a predictable pattern of improvement that is faster than what you might experience if you chose not to perform therapy, depending on your situation.  I generally have a “two week rule.”  That means that any patient we see should experience significant improvement in two weeks or less, or therapy is not the treatment of choice.

What About That Hamstring Strain?

Well, we see hamstring injuries too.  Ordinarily they require light exercises, performed several times a day (at home or work) and progressive weight bearing and walking.  This is followed by gradually more aggressive flexibility training (increasing flexibility to attempt to reduce the chance of recurrence) and return to sports.  All in all, we expect to see this type of patient 4-8 visits before full return to sports, depending on the severity of the injury.

At Terry Rehabilitation, each patient is expertly evaluated, each treatment plan is customized for that patient, and all treatment occurs one-on-one with a highly trained licensed professional.

Our rehabilitation programs include:

1. Hands-on manual therapy techniques – to quickly correct loss of motion
2. Supervised therapeutic exercises targeted to specific deficiencies
3. Modalities such as cold packs, heat, and electrical stimulation to reduce pain, inflammation, and to increase flexibility
4. Targeted home exercise programs that do not require special equipment
5. Restoration of functional strength and stability for daily activities
6. Work-specific or sport-specific rehabilitation

Contact us to schedule an initial evaluation. If physical therapy is recommended, we will contact your physician in writing regarding the recommended plan of care, allowing him or her to make the most informed decision possible for the care.

A Username on facebook is a shortened URL that allows others to easily find a facebook page.

While individuals were able to obtain usernames over the summer (maybe before that) business pages initially had to jump through some hoops.

Initially the business page had to have been up and running for a length of time (I don’t remember how long, but ours was too young) or had to have 1,000 fans.  Then that number went down to 100, and then at some point most of the initial requirements were removed.

Well today I ran into a group of facebook page administrators, and I realized that I might be able to try again to get a username.

So What is the Username?

Our username is terryrehab. I tried to use terry-rehab, however, facebook doesn’t allow hyphens.  Terryrehabilitation is too easy (I have to type that every day) to misspell, so I just took out the hypen.

The full URL is now www.facebook.com/terryrehab

Well, it’s been extremely revealing, and leads me to today’s post about treatment expectations.

Whose Expectations?  What Expectations?

It’s a loaded question: What should you expect from therapy?  What should your insurance company expect from therapy?  What should your employer or coach expect from therapy?

Well, first of all, each party involved is entitled to straight answers regarding care.  Things like “How long will therapy last?” or “Will I be back to normal when I’m done?” are the most basic, but I’d go even further and ask things like “What is this treatment and how does it relate specifically to my condition?”

I started this post today because I was asked to review a worker’s compensation case in the state of Massachusetts.  For treatment of injured workers in Texas, we use a document called “Official Disability Guidelines” (ODG) as our starting point. It’s a laundry list of conditions that affect people, and based on the best research evidence published, ODG attempts to make recommendations regarding the number of therapy visits a patient with a particular problem will need.  My uncle’s a transmission mechanic, and mechanics have a similar book to estimate the amount of labor needed to complete a given repair.  Good mechanics will come in under the estimate, lesser mechanics will take longer than the estimate.

Well, the same holds true in therapy.  The first request I received today was for an injured worker.  He hurt his back in 2007, and has been in and out of therapy for episodic low back pain since.  Basically he’s back in treatment when his pain is such that it prevents him from working.

In this case, his therapy began on 6/1/09 and continued for 22 visits.  What was the result?  Not much.  His therapist says “he’s definitely in pain” but doesn’t have much of an idea about what to do.  The solution?  Request more therapy visits.

We Begin With an End in Mind

Sometimes physical therapy is the treatment of choice for a given condition.  You’ll know because your therapist will tell you that.  He or she will explain to you how therapy will address your problems, and what the final result should look like.  Your therapist will tell you about when you should see improvement, and about when you should complete your therapy.

Other times you’ll know that therapy is the treatment of choice because you’ll see results before you even complete your first visit.  This is common for patients with spinal problems, such as neck and back pain.  Part of the therapy evaluation is determining what the best approach is for your problem, and part of that determination comes from utilizing a series of movements and/or tests, and then initiating treatment at that moment, based on your response.

We Will Not Lead You On

Personally (professionally) I have a “two week rule” that means that you should experience significant improvement in two weeks, or physical therapy is not the treatment for your condition.  That applies for long term (chronic) problems as well as to more acute problems.  In fact, in most cases, I’d shorten it to a “7-10 day” rule or less, depending on how often I see the patient.

So what’s my point?  If you’re experiencing a problem, seeing a therapist, not getting answers that you’re happy with and are still seeing that therapist weeks later, you need to make a change.

At Terry Rehabilitation, each patient is expertly evaluated, each treatment plan is customized for that patient, and all treatment occurs one-on-one with a highly trained licensed professional.

Our rehabilitation programs include:

1. Hands-on manual therapy techniques – to quickly correct loss of motion
2. Supervised therapeutic exercises targeted to specific deficiencies
3. Modalities such as cold packs, heat, and electrical stimulation to reduce pain, inflammation, and to increase flexibility
4. Targeted home exercise programs that do not require special equipment
5. Restoration of functional strength and stability for daily activities
6. Work-specific or sport-specific rehabilitation

Contact us to schedule an initial evaluation. If physical therapy is recommended, we will contact your physician in writing regarding the recommended plan of care, allowing him or her to make the most informed decision possible for the care.

These are our current openings.  Although we do not always have an opening, we would still like to hear from you.  We are always considering additional ventures that are dependent on having coverage for additional patient care.

Our current openings are as follows:

Physical Therapist/Therapy Assistant (PRN) | Carrollton

Candidates will be considered with:

• 1 or more years of orthopedic outpatient experience
• Ability to work with on-site supervision < 50% of the time
• Desire to become board certified in either orthopedic or sports physical therapy
• Dedication to one-on-one care, with complete focus on patient outcomes and satisfaction
• No desire for paperwork or administrative busy-work

The ideal candidate will possess:

• 3 or more years of orthopedic clinical experience
• Ability to communicate verbally and in writing with patients in Spanish regarding evaluation and treatment
• Study and preparation completed toward board certification
• Interest in EMG/NCS, FCE, or Golf Fitness as adjunct practice areas
• Willingness to participate in home/office visits within 3 miles of the clinic (with mileage reimbursement)

Our Carrollton Location

We’re only 10 minutes from nearly anywhere in the NW Dallas Suburbs!

What Is Being a Clinician for Terry Rehabilitation Like?

Well, for starters, your primary concern will be for your patients – their satisfaction, their treatment outcomes, their education, etc.  If you do what’s right for the patient, you’ll do what’s right for the business.

Secondly, as a therapist myself, I CANNOT STAND PAPERWORK OR “BUSY” WORK.  I think that it’s detrimental for the business to have therapists performing administrative duties (because we’re expensive and most of us are lousy at it), and it’s usually not what good therapists want to spend their time doing anyway.

All of our clinical documentation is automated, and very easy to use. All authorizations are sent and entered by the administrative staff, and you’re reminded when patients are returning to their referring provider.  Handouts are pre-fab’d or can be done on the copier (old school) with VHI cards.  We also have exercises hooked into our documentation system as well.

Our offices are relatively small, and focus on manual therapy and therapeutic exercise.  There are no large, fancy pieces of equipment – just the common items that every therapist needs.  We also have a shower so that you can work out before or after work, or at lunch and keep yourself fit.

The Advantages of Being Small

Because our practice is small, we are also flexible.  For example, you might decide that you’d rather have additional continuing education funding rather than health benefits, or would rather have a higher deductible health insurance plan with a Health Savings Account so that your coverage stretches further?  We will be happy to negotiate on a good faith basis.

Pay and Benefits

Each full time employee will receive:

• Salary commensurate with qualifications and experience
• Paid time off
• Health and supplemental insurance coverage
• 401(k) retirement plan with employer match
• Continuing educational assistance

Questions?

Fax your resume to (866) 451-0585, or call for the email address.

You can also call me and make arrangements to stop by.  I’ll be happy to show you around and discuss your career goals.

Legal Disclaimer

The information on this Web site is provided by Terry Rehabilitation & Testing for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered.

If you have, or suspect you have, a health problem you should consult your primary healthcare provider.

Terry Rehabilitation provides links to other organizations as a service to our readers; Terry Rehabilitation is not responsible for information provided in other web sites.

This Site Was Developed With You In Mind

Whether you are a current patient, potential patient, or family member of a patient or potential patient, you will find plenty of information on our knowledgebase to help you better understand your problem and your rehabilitation.

All of our posts have been written in language that doesn’t require any special knowledge. They’ve been organized into topics that cover most questions that we receive on a regular basis. Look over the categories, click the titles, and see what’s new. Are you and RSS fan? Set up an RSS feed to get the latest postings on a variety of topics. Don’t have time to browse? Use the search feature on this page to quickly find those posts which are pertinent to you. Have a question about or relating to a particular post? Leave a comment and your comment with our answer may end up being posted for others to learn from.

What Do Orthopedic Physical Therapists Do?

While most people inherently understand that if they lift more weight, they will increase muscle strength and mass, or if they spend more time jogging, their cardiovascular system will adapt to the stress with increased efficiency, most people do not realize that the same adaptive principals apply to most tissues of the body. Orthopedic physical therapists work with the neurmusculoskeletal system (nerves, muscles, and bones) to effect change – such as increasing the resting length of a muscle, or restoring range of motion – to restore normal mechanics to a joint or an entire extremity, thereby eliminating symptoms and restoring function.

What separates orthopedic physical therapists from other practitioners (and from PT generalists) is an understanding of normal and pathological tissues, how they respond to imposed mechanical stress, and how to progressively change their structure without making a condition worse. For example, an orthopedic physical therapist understands the difference between tendonosis and tendonitis, and that one responds very well to a specific kind of muscle strength training, while the other can easily become aggravated by it. Another example would be the difference between two types of back pain – one of which responds instantly to extension (some form of bending backward) and will benefit from several frequent treatments, while the other will respond to very light extension exercises performed over weeks, with intervention by the therapist only on a week-to-week basis.

An orthopedic physical therapist also knows when to say when – in some instances physical therapy will not be the most beneficial treatment – and you and your doctor should know that as quickly as possible. In some cases you may need additional specialist evaluation – by an orthopedic or neurological surgeon, for example – or you simply have a problem that will respond to another modality of treatment – for example a frozen shoulder that responds better to dynamic splinting than therapy. In all of these situations you and your doctor will receive prompt feedback so that you can get on to the most beneficial treatment for your situation.

By the way, those therapists that refer to themselves as “Board Certified” have completed specific requirements regarding the number and type of patients that they treat, and sit for a board certification examination every 10 years. Right now, including all specialties, about 5% of practicing physical therapists in Texas are board certified specialists. To find other board certified specialists in your practice area or geographic region, see the “Resources” navigation bar, and select “Find a Board-Certified PT Specialist.”

When Should I See a Physical Therapist?

In general there is no wrong time to consider using physical therapy as an intervention. Some problems, such as a stiff and sore shoulder in someone over 40, should be seen as soon as possible. Other problems depend on your needs. For example, a minor strain or sprain may heal on it’s own over the course of a few weeks. If symptoms are declining, you may not need any therapy. However, if you’re an athlete, or your injury interferes with your ability to perform your regular work, a quick start to therapy might be just what you need.

Most orthopedic problems today are treated with medications, and if those medications don’t work, many doctors will suggest injections, surgery, or some other invasive procedure. Our message to you: Try Therapy First! Compared to other interventions, diagnostic tests, and specialists, physical therapy is inexpensive and relatively free of side effects. Check out this page from the American Physical Therapy Association or browse this knowledgebase to find out more about what physical therapy can do for you.

How Can I See a Physical Therapist?

In the state of Texas, the law requires new physical therapy patients to obtain a prescription for treatment from their healthcare provider (M.D., D.O., Podiatrist, Chiropractor, Dentist, Nurse Practioner, Physician Assistant) before treatment can be started. However, you are allowed to go directly to a physical therapist without a prescription for an initial consultation, as long as no treatment is started or no treatment recommendations are made.

If you would like to set up an appointment with one of our therapists, contact us. Usually, we already have an established relationship with your healthcare provider. If your referring healthcare provider already knows about the problem you’re coming to us for, he/she will usually send a prescription for therapy prior to your visit. In some cases, your healthcare provider may ask that you stop in for a follow-up appointment before treatment starts.

I Have Specific Questions

We have two ways to help you there – Contact us with your question, or search this knowledgebase. There are specific categories along the navigation bar, and some links that may be of interest as well. This knowledgebase is written for patients and healthcare practitioners that do not have an intimate understanding of orthopedics.

I was working long through a Saturday, and low and behold there was an informercial for a local group of chiropractors advertising their spinal decompression treatments.  They featured an orthopedic surgeon from Georgia.  I looked him up, and found that he had been stripped of his board certification because of a felony fraud conviction related to a spinal decompression device.

Having been told by various insurance companies that the device is not covered, the orthopedic surgeon and two chiropractors (not affiliated with the above-mentioned local chiropractic practice – just featured in their infomercials) instead billed for other therapies that were not provided to the patients in order to obtain reimbursement for the patient’s appointment.

Although their website and television commercial claim fantastic results, the reviews and research have been published in non-reviewed sources.  Peer-reviewed journals utilize others in the research community (research editors) to evaluate the strength and quality of research to determine it’s worthiness for publication.

Although the above-mentioned website does include one article in a reputable journal – Spine – that article does not include spinal decompression at all, but is an article standardizing nomenclature (naming conventions) for problems of the spine.

This is a press release relating the details of the scheme that landed a couple of chiropractors and the orthopedic surgeon in hot water: Press Release from the DOJ

Keep in mind that spinal traction has been used (and I use it from time to time) for the treatment of radiculopathy (sciatica) and low back pain, but it has little, if any, established efficacy as a stand-alone procedure.  Check this out for details.

Looking for More Details?

Check out this article, which is the most substantial that I’ve seen on the subject.

This post addresses general rules and FAQs for referring patients with orthopedic problems to physical therapy.  To take a look at our Referral Guideline, click here.

Why Should I refer patients to physical therapy?

• For timely conservative care of orthopedic injuries
• To get your patients back to work, athletics, and life as soon as possible
• To empower your patients to take care of themselves

When should I refer patients to a physical therapist?

• Musculoskeletal complaints of duration > 6 weeks
• Any loss of passive range of motion
• Tendonitis prior to becoming tendonopathy
• Injuries that interfere with work or athletics

What should I write on the prescription?

• “Evaluate and Treat” allos the therapist to use his/her professional discretion
• Note any limitations/restrictions that should be observed
• Frequency, duration, and modalities do not generally need to be noted, unless you have specific preferences

Why should I fax the patient’s prescription?

• To maintain continuity of care – you will receive timely communication to let you know if there is a problem or delay in initiating treatment
• To avoid procrastination/compliance problems – we will contact each patient to be started as soon as possible
• To avoid confusion – we can verify benefits, give specific directions, and refer to another in-network therapist, if needed

What kind of feedback do I get?

• Initial Evaluation and Treatment Plan (sign the back page and return if required)
• Routine Progress Notes (sign the back page and return if required)
• Discharge Note to inform you of the patient’s final disposition

Where is Terry Rehabilitation & Testing?

• Click Here for addresses and directions
• Call (972) 939-6501 for specific directions

What if I have questions or concerns?

• Contact us at (972) 939-6501
• Fax us at (866) 451-0585