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Evaluate and Treat
  MANUAL THERAPY THERAPEUTIC EXERCISE MODALITIES
   Traction  Passive ROM  Moist Heat / Ice
   Joint Mobilization  Active Assisted / Active ROM  Ultrasound
   Soft Tissue Mobilization  Strengthening  Iontophoresis
    Dosage:
    Stretching  Core Stabilization  Electrical Stimulation
   Proprioceptive Training  
   
 
  Frequency:   times / week                        Duration:   weeks
 
 
I certify that this patient is under my care and requires physical therapy treatment as prescribed above.