Canine Rehab Products
Canine Professional Intake Forms Package

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Lawyer reviewed and approved, these Forms save you time and money while giving you consistency in your documentation.

The work has been done for you. All you need to do is add your Facility Information, Logo etc., print the Form(s) and complete the pertinent information.

All TEN Forms are easy to use for you, referring veterinarians and clients. The forms include:

• Rehabilitation/Hydrotherapy Veterinary Referral
• Fun/Fitness Veterinary Referral
• Client Informed Consent to Treat
• Comprehensive History that the client completes prior to initial visit
• Comprehensive Physical Evaluation Checklist with Summary and Goals
• Pawgress Note
• Functional History Summary
• Home Exercise Prescription ( circle)
• Common Exercises (circle)
• Ongoing Problem List

The Forms are reasonably priced at $150.00 for the complete set on CD plus $10 Shipping and Handling.

Disclaimer: These Forms are intended for use by veterinarians, physical therapists and veterinary technicians who are educated in canine rehabilitation and are not intended to replace proper veterinarian diagnosis and treatment. All Forms are used at the Therapists/Veterinarian's own risk and authors assume no liability for the use of these Forms.

Price: $150.00 + $10 s/h

Please allow 7-10 days for delivery.

Please allow 7-10 days for delivery.

For more information or to order by phone, call or write:

Sandy Murley MSPT, OCS, CCRT (603) 487-3469
or
Jody Chiquoine MSN, FNP, CCRT (413) 243-0253

Email: info@caninerehabproducts.com

Canine Rehab Products
PO Box 204
Milford, NH 03055