| Squirrel Hill Physical Therapy Center | ||
| 4070
Beechwood Boulevard • Pittsburgh, PA 15217 |
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| Cynthia Stein, M.Ed., PT | Phone: (412) 422-7022 | |
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Order for Baseline Volumetrics |
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| Patient Name: _______________________________________________________________________________________________ |
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| Diagnosis: _______________________________________________________________________________________________ |
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This is a free service
provided by Squirrel Hill Physical Therapy Center. Please call (412) 422-7022 to schedule your appointment. |
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| Physician Signature:_____________________________________________Date:_____________________________ | ||