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Dear Fred,

I own a private practice in Buffalo,NY and we are not allowed to use

anyone other than a PT Assistant to administer anything to a patient;

ie. Cold Packs, HP, Stim, Massage, MFR, Mob., Ultrasound, etc. Difficult

for us since we have about the lowest reimbursement in the U.S.A.

My staff and I believe that the initial eval and the relationship forged

between PT and patient is crucial. It is at that time when our findings

and goals are communicated to the patient and the patient is informed

who is personally responsible for each aspect of treatment. The patient

is told that an assistant will be monitering your gym exercises after

the PT has taught them. The PT will be doing all soft tissue or cranial

work and the PTA will provide heat/cold or modal. PRN. We work 3 PT's

and one PTA and one aide at all times.

Are you near Col. Springs? I have a sister in Manitou and visit alot and

she has kept me informed of healthcare changes out there. ( She is a

nurse with administrative duties ).

Sincerely,

Dorothy F. Holland PT

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