MEDREC OT PT SLP 85 NE LOOP 410, SUITE 610, SAN ANTONIO, TX 78216 P: (800) 437-7560
Therapy Services Since 1974
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Skills Inventory - PT & PTA

Please complete ALL the questions below.
Enter NA or select No Experience for any area that does not apply.

Name:
Email:
Date:
Graduation Date:

 1 = No Experience  2 = Intermittent Experience  3 = Experienced  4 = Supervise & Teach


ORTHOPEDIC 1 2 3 4
Back syndromes
Hip fractures
Total upper joint replacement
Total hip replacement
Hand Injury
TMJ
Arthritis Programs
Mobilization techniques

NEUROLOGICAL 1 2 3 4
Smoke rehabilitation
Head trauma
Spinal cord injury
Functional splinting
Adaptive Equipment

SPORTS MEDICINE 1 2 3 4
Biodex
Cybex
Orthotron
LIDO
Nautilus/Eagle
Bracing/Joint immobilization
Taping/Strapping

PEDIATRICS 1 2 3 4
Neurodevelopment testing
Disability sequence test
Orthotics
Equipment assessment adaptive
Activities of daily living

MODALITIES 1 2 3 4
CPM
Whirlpool
Hubbard Tank
Therapeutic pool
Biofeedback

TENS 1 2 3 4
Muscle stimulation
Ultrasound
Diathermy
Cryotherapy
Acupuncture
Cervical traction
Massage
Wound Dressing

PROSTHETICS/ORTHOTICS 1 2 3 4
Above knee prosthetics
Below knee prosthetic
Upper extremity prosthetics
Orthoplast
Resting splints
Dynamic splints
Ankle foot orthosis

OTHER 1 2 3 4
Work capacity evaluation
Functional capacity evaluation
Cardiac rehabilitation
Chest physiotherapy


AREAS OF EXPERIENCE Inpatient Outpatient
  Months Years Months Years
General acute care
Rehabilitation hospital
Sports Medicine clinic
Children's hospital
School System
Home Health Care
Physician's Office
Skilled nursing facility



 Age Specific Competencies
I possess the minimum knowledge, skills and abilities for the following patient populations:
  Neo-Natal Pediatrics Adolescent Adult Geriatrics
  Yes No N/A Yes No N/A Yes No N/A Yes No N/A Yes No N/A
Knowledge of growth and development
Ability to assess age specific data
Ability to provide age specific data
Possess communication skills necessary to interpret age specific response to
Ability to involve family or significant other in decision making related to plan of care

Call us Toll Free at
(800) 437-7560


Our clients include:

  • Acute Care - Inpatient
  • Acute Care - Outpatient Department
  • Ambulatory Care Clinic
  • Corporate/ Industrial
  • Home Health
  • Private Practice/ Physician Office
  • Rehabilitation Center
  • School
  • Skilled Nursing Facility
  • Sports Medicine Center


JCAHO
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