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Understanding Prescription Requirements

Prescription Requirements

Your Rx for PT must include the following fields. All information provided must also match what is on your insurance card.

Required Fields

  • First and Last name
  • Patient Date of Birth
  • The Duration and Frequency of Treatment -- Can list "PRN/PT discretion"
  • A Valid Diagnosis -- Note: "Pelvic Floor PT" is not a valid diagnoses
  • Provider Signature -- Written or Electronically, not stamped, unless signed with stamp
  • Date of Rx/Referral
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