Per medical report dated 06/04/15, the patient complained of anxiety and being stressed. Patient is in severe distress, slightly crying and is hyperventilating. Plan includes psychiatry referral for anxiety attack and situation anxiety, start Lorazepam 1 mg, and PT for 6 sessions.
Based on PT evaluation report dated 06/09/15, the patient complains of severe and worsening cervical spine pain, described as aching and throbbing. Pain is rated at 7/10. Patient also has constant headaches and dizziness. …show more content…
Diagnoses are acute cervical strain, anxiety attack and situational anxiety.
Plan is PT 3 times a week for 2 weeks.
Current request is for 6 Physical Therapy Sessions for the Cervical Spine between 6/22/2015 and