Exhibit 29

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 1 of 21 Pg ID 341
THEA TMENT RECORD PROGRESS NOTE Week Ending

Codes Dates of Service -9 12/10 Pate Plan Established

97010 Hot/coldpack X_ 12/10/10

97014 Electrical Muscle

Stimulation

Month/Year

PEC 2010

97035 Uftrasound@acb are Name

97033 Iontophoresis 15 miii each

97018 Paraffin Bath

97034 Contrast Bath

97022 Whirlpool

90901 Biofeedback Date of Birth Sex

97016 Vasopneumatic Therapy

97140 ManualTherapy .___

97124 Massage Diagnosis

CERVICAL STRAIN

SCAPULAR

INSTABILITY

SHOULDER STRAIN

97112 Neuromuscular Reeducation

97530 Transfer/Bed Mob Training

97116 Gait Training

97110 Therpçtic Exercise 15 mm Physician

97110- Therapeutic Ex Add 15 mm Dr WEINGARTEN

97704 Orthotic Training 15 mm Insurance

97520 Prosthetic Training 15 mm

97012 Traction Mechanical

97542 W/C Management Co-Insurance

97003 OT Evaluation

97004 OT Re-evaluation

._____

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97532 Cognitive Skills Training

97530 Therapeutic Activities Treatment

As 97535 Self Care Mngmnt per POC Training

Splint Education

Splint charge

Therapist Initials

Assessment in SOAP format

Patient states am stiff and sore in my neck and shoulders have lot of headaches Pain level in CS 7-8110 on 0-10

set

Patient was evaluated in 30 mm and POC established Patient received ix sessions this week with the following

modalities IFC with MHP to CS STM with MFR to CSjt mobs with grade to CS US to CS/tmpezuis msl groups

mhz w/cm2 Patient lb status is as follows Tenderness at CS 4-/Son 0-5 scale Spasm at upper lower Trapezius is 4/5 at 0-

scale Manual ms strength at C.S 2/S on 0-5 scale Endurance poor Pt is unable to cook and clean the house do pain

mod/max difficulty during dressing and grooming unable to sleep on sides 5mm sit to watch TV 10 mm ADL task

Feeding independent Grooming max-mod Washing UB max A- mod LB mod A- mm Dressing UB mod LB mod

A- mm Toileting independent do pain during Bed mobility transfers ADL transfer sit to stand tub lndependent Pt is

unable to look up down around Demo with HEP

Patient demo with dec pain tend in neck msls this week Patient needed frequent rest breaks in between tx sessions

Tolerated tx well with mm- mod discomfort

Continue with POC to achieve set goals

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 2 of 21 Pg ID 342
TREA TMENT RECORD PROGRESS NOTE Week Ending

Codes Dates of Service-s 12/10 Date Plan Established

97010 Hot/coldpuck 12/10/2010

97014 Electrical Muscle

Stimulation

Month/Year

DEC JOlO_

97035 Ultrasoundeach area Last Name

97033 Iontophoresis 15 mm each

97018 Paraffin Bath

97022 Whirlpool

90901 Biofeedback Date of Birth Sex

97 140 Manual Therapy MALE

97124 Massage Diagnosis

97112 Neuromuscular Re- LUMBAR STRAIN

education

97530 Transfer/Bed Mob Training

97116 GaitTraining

97110 Therapetic Exercise 15 miii Physician

DR SAUL

WEINCIARDENM.D

97110- Therapeutic Ex Add 15 Sn

97703 Orthotic Training 15 rain Insurance

97012 Traction Mechanical

97542 W/C

Propulsion/Management

CoInsurance

97002 PT Re-evaluation --

95831 Manual Muscle testing --

95851 ROM Measurement Therapist

97001 PT Evaluation

Treatment

As per POT

Therapist Initials

Assessment in SOAP format

Pt is in the pain on his Lower back

Pain level Lumbar Spine 8/10 on 0-10 scale

Patient received lx session this week with the following modalities

MHP to LS for 15 mm

EN status pain level at Lumbar is about 8110 on 0/10 scale The tenderness is about 4/5 On 0/5 scale

Lumbar Spasm is about 4/5 on 0-5 scale AROM at Lumbar is restricted due to pain MMT is about 3-/S on 0-5

scale Endurance is fair- .l3alance static/dynamic good .Patient has max pain with walking for 10-15 mts Pt

has max difficulty with going up and down max difficulty with getting from low height chair mod difficulty

with going in and out of car also mod difficulty with bed mobility moderate difficulty with grooming dressung

and max difficulty with over the head activities.pt has max difficulty to reach to floor to pick up an object due to

pain.pt cannot lie on stomach /back for 10 -15 mts and max/mod duff with sitting and standing for 10-15 mis

patient has mod difficulty with looking up and down max difficulty with reaching behind back .HEP is given and

bed mobility and safety exercises were thought

Evaluation has done on the lower back

Continue with POC to decrease the pain and increase the ROM and Strength

Therapist Signature

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 3 of 21 Pg ID 343
TREA TMENT RECORD PROGRESS NOTE Week Endinp

Codes Dates of Service 12/17 Date Plan Established

97010 I-Iot/coldpack 12/10/10

97014 Electrical Muscle

Stimulation

Mnth/Year

2010

97035 Ultrasotmdeach area Last Name

97033 lontophoresis 15 miii each

97018 Paraffin Bath

97034 Contrast Bath

97022 Whirlpool

90902 Biofeedback Date of Birth jç.ç

97016 Vasopneumatic Therapy

97140 Manual Therapy

97124 Massage Diagnosis

CERVICAL STRAIN

SCAPULAR

INSTABILITY

SHOULDER STRAIN

97112 Neuromuscular Reeducation

97530 Transfer/Bed Mob Training

97116 Gait Training

97110 Therapeutic Exercise 15 mm Physician

97110- Therapeutic Ex Add 15 mm Dr WEINGARTEN

97704 Orthotic Training 15 rain Insurance

97520 Prosthetic Training 15 nun

970 12 Traction Mechanical

97542 W/C Management CoJnsurance

97003 OT Evaluation

97004 OT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Thegpt

97532 Cognitive Skills Training

97530 Therapeutic Activities Treatment

97535 Self Care Mngmnt Training As per POC

Splint Education

Splint charge

Therapist Initials

Assessment In SOAP format

Patient states am ok doing my best Pain level in CS 7-8/10 on 0-10 scale

Patient received lx sessions this week with the following modalities IFC with MHP to CS STM with MElt

to CS.jt mobs with grade to CS US to CS/trapezuis msl groups mhz w/cm2 Patient hi status is as

follows Tenderness at CS 4-15 on 0-5 scale Spasm at upper lower Trapezius is 4/5 at 0-5 scale Manual ins

strength at C.S 2/S on 0-5 scale Endurance poor-F/fair- Pt is unable to cook and clean the house do pain

mod/max difficulty during dressing and grooming unable to sleep on sides 5mm sit to watch TV 10 miii ADL

task Feeding independent Grooming max-mod Washing US mod LB mod A- min Dressing US mod

LB mod A- mm Toileting independent do pain during Bed mobility transfers ADL transfer sit to stand tub

Independent Pt is unable to look up down around .Demo with HER Pt educated on cervical and UE stretches

to decrease pain and stiffliess pt able to demo all stretches and added to HEP

Patient demo with dec pain tend in neck msls this week Patient needed frequent rest breaks in between tx

sessions Tolerated lx well with win- mod discomfort

Continue with POC to achieve set goals

22 95tosb

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 4 of 21 Pg ID 344
TREA TMENT RECORD PROGRESS NOTE Week Endinz

Codes Dates of Service 12/17 Date Plan Established

97010 Hot/coldpack

12110/2010

97014 Electrical Muscle Stimulation Month/Year

DEC/ 2010

97035 liltrasowideach area Last Name

97033 lontophoresis 15 mitt each

97018 Paraffin Bath

97022 Whirlpool

90901 Biofeedback Date of Birth Sex

97140 Manual Therapy Male

97124 Massage Diagnosis

97112 Neuromuscular Re-education LUMBAR STRAIN

97530 Transfer/Bed Mob Training

97116 Gait Training

97110 Therapeutic Exercise 15 mm Physician

97110- Dr WEINGARDEN M.D Therapeutic Es Add 15 mm

97703 Orthotic Training 15 mitt Insurance

97012 Traction Mechanical

97542 W/C Propulsion/Management CoInsurance

97002 PT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97001 PT Evaluation

Treatment

As per POT

Therapist Initials

Assessment in SOAP format

Pt feels little improvement on his lower back

Pain level Lumbar 7-8/10 on 0-10 scale

Patient received ix session this week with the following modalities

IFC with MHP to LS for 15 mm thx us includes 1Mhz .3w/cm2 to his Lumbar for mts .Therapeutic massage to

Lumbar for 10-15 mts .Therapeutic exercises are given

FN status pain level at Lumbar is about 7-8/10 on 0/10 scale and Tenderness is about 3/S on 0/5 scale Spasm at

Lumbar 4/5 on 0-5 scale Arom @Lumbar spine is restricted moderately due to pain MMT is about 3-/S on 0-5 scale

Endurance Fair- .Balance static/dynamic sitting good Pt has mod difficulty to go up down stairs mod difficulty to get

in out of the car and bath tub patient has max difficulty to get up from the low height chair also has mod difficulty with

bed mobility Pt has max difficulty to sleep on stomach for 15 mts max difficulty to sit for 10-15 mins and max

difficulty to stand l0mt pt has Max difficulty in walking more than 5-7 mins Patient has max/mod difficulty to reach

for an object from floor due to pain

Pt felt good and continue therapy protocols to bring the pain down

Continue with Skilled therapy to reach set goals

Therapist Signature

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 5 of 21 Pg ID 345
TREA TMENT RECORD PROGRESS NOTE Week Ending

Codes Dates of Service -3 1/21 Date Plan Established

97010 Hot/coldpack

12110/2010

97014 Electrical Muscle Stimulation Mpnth

DEC/ 2010

97035 Ultrasoundeach area Last Name

97033 lontophoresis 15 mm each

97018 Paraffin Bath

97022 Whirlpool

90901 Biofeedback Date of Birth Sex

97140 Manual Therapy Male

97124 Massage Diagnosis

97112 Neuromuscular Re-education LUMBAR STRAIN

97530 Transfer/Bed Mob Training

97116 Gaitlraining

97110 Therapeutic Exercise 15 mm Physician

97110- Therapeutic fix Add 15 mm Dr WHNGARDEN M.D

97703 Orthotic Training 15 mm insurance

97012 Traction Mechanical

97542 W/C Propulsion/Management CoInsurance

97002 PTRe-evalualion

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97001 PT Evaluation

Treatment

As per POT

Therapist Initials

Assessment in SOAP format

My lower back is sore

Lumbar 5/10 on 0-10 scale

Patient received lx session this week with the following modalities

IFC with M1P to LS for 15 mm thx us includes 1Mhz L3w/cm2 to his Lumbar for mts functional massage to

Lumbar for 10-15 mts .Therapeutic exercises are given

FN status pain level at Is is about 5/10 on 0/10 scale and tenderness is about 3/5 on 0/5 scale spasm at Is 4/S on 0-5

scale arom @ls is restricted mildly due to pain..muscle power is about 4-/S on 0-5 scale endurance fair- balance

static/dynamic good pt has mod difficulty to go up down stairs mod difficulty to get in out of the car .patient has

mod difficulty to get up from the low height chair .also has mm difficulty with bed mobility pt has mod difficulty to sleep

on stomach/back for 30 mts mod difficulty to sit for 30 mts and mod difficulty to stand for 30 ml patient has mod

difficulty to reach for object from floor due to pain

patient came back to therapy after month is re evaluated needs more excs

Continue with Skilled therapy to reach set goals

Th ist Signature

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 6 of 21 Pg ID 346
TREA TMENT RECORD PROGRESS NOTE Week Endinli

Codes

97010

Dates of Service

Hot/coldpack

1121 Date Plan Established

12/10/10

97014 Electrical Muscle

Stimulation

Month/Year

DEC 2010

97035 Ultrasoundeach area Last Name

97033 Jontophoresis 15 mm each

97018 Paraffin Bath

97034 Contrast Bath

97022 Whirlpool

90901 Biofeedback Date ofBirth .j

97016 Vasopnewnatic Therapy

97140 ManualTherapy

97 124 Massage ggosis

CERVICAL STRAIN

SCAPULAR

INSTABILITY

SHOULDER STRAIN

97112 Neuromuscular Reeducation

97530 Transfer/Bed Mob Training

97116 Gait Training

97110 Therapeutic Exercise 15 miii Physician

97110- Therapeutic Ex Add 15 miii Dr WEINCIARTEN

97704 OrthoticTrainungl5min Insurance

97520 Prosthetic Training 15 miii

97012 Traction Mechanical

97542 W/C Management CoInsuranQe

97003 OT Evaluation

97004 OT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97532 gnitive Skills Training

97530 Therapeutic Activities Treabnent

As 97535 Self Care Mngnunt Training per POC

Splint Education

Splint charge

Therapist Initials

.____

Assessment In SOAP format

Patient states Pain level in CS 7/10 on 0-10 scale

Patient received tic sessions this week with the following modalities 1FC with MIIP to CS STM with MElt

to CS ft mobs with grade 1St to CS US to CS/trapezuis msl groups mhz w/cm2 Bilateral shoulder wheel lOx

reps each AROM exercises 10 reps each all planes Instruct with energy conservation and work

simplification techniques PREs with yellow theraband bilateral shoulder/elbow flexion/extension

Patient able to tolerate treatment well Required frequent restbreaks between exercises Demonstrated

PConlinuewithPOChieves goals

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 7 of 21 Pg ID 347
TREA TMENT RECORD PROGRESS NOTE Week Ending

Codes Dates of Service iS Date Plan Established

12/10i20t0

97010 Hot/cold pack

97014 Electrical Muscle Stimulation Month/Year

DEC/ 2010

97035 Ultrasoundeach area Last Name

97033 Iontophoresis 15 mm each

97018 Paraffin Bath

97022 Whirlpool

90901 Biofbedback Date of Birth Sex

97140 Manual Therapy Male

97124 Massage fljgpsis

97112 Neuromuscular Re-education LUMBAR STRAIN

97530 Transfer/Bed Mob Training

97116 Gait Training

97110 Therapeutic Exercise 15 mm Physician

97110- Therapeutic Lx Add 15 mm Dr WEINGARDEN MD

97703 Orthotic Training 15 rain Insurance

970 12 Traction Mechanical

97542 W/C Propulsion/Management CoInsurance

97002 PT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Theranist

97001 PT Evaluation

Traflu_ent

As per POT

Therapist Initials

Assessment in SOAP format

My lower back is stiff

Lumbar 5/10 on 0-10 scale

Patient received Ix session this week with the following modalities

JFC with MHP to LS for 15 miii thx us includes 1Mhz l.Swfcm2 to his Lumbar for mis .fiinctional massage to

Lumbar for 10-IS mis Therapeutic exercises are given

EN status pain level at Is is about 5/10 on 0/10 scale and tenderness is about 3/S on 0/5 scale spasm at Is 4/5 on 0-5

scale arom @ls is restricted mildly due to pain .muscle power is about 4-/S on 0-S scale endurance fair- balance

static/dynamic good p1 has mod difficulty to go up down stairs mod difficulty to get in out of the car .patient has

mod difficulty to get up from the low height chair also has rain difficulty with bed mobility pt has mod difficulty to sleep

on stomach/back for 30 mis mod difficulty to sit for 30 mis and mod difficulty to stand for 30 ml patient has mod

difficulty to reach for object from floor due to pain

patient tolerated the treatment well

Continue with Skilled therapy to reach set goals

TherApist Signature

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 8 of 21 Pg ID 348
TREA TMENT RECORD PROGRESS NOTE Week Ending

Codes Dates of Service 1/28 Date Plan Established

97010 Hot/coldpack 12/10/10

97014 Electrical Muscle

Stimulation

Month/Year

DEC 2010

97035 Ultrasoundeach area

97033 lontophoresis 15 mm each

97018 ParaffmBath

97034 Contrast Bath

97022 Whirlpool

90901 Biofeedback Date of Bjh

97016 Vppneutnatic Therapy

97140 Manual Therapy

97124 Massage Diaznosis

CERVICAL STRAIN

SCAPULAR

INSTABILITY

SHOULDER STRAIN

97112 Neuromuscular Reeducation

97530 Transfer/Bed Mob Training

97116 Gait Training

97110 Therapeutic Exercise 15 mm Physician

97110- Therapeutic Ex Add 15 mm Dr WEINGARTEN

97704 Orthotic Training 15 mm Insurance

97520 Prosthetic Training 15 miii

97012 Traction Mechanical

97542 W/C Management CoInsurance

97003 OT Evaluation

97004 OT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97532 Cognitive Skills Training

97530 Therapeutic Activities Treatment

As 97535 Self Care Mngmnt Training per POC

Splint Education

Splint charge

Therapist Initials

Assessment In SOAP format

Patient states Pain level in CS 6-7/10 on 0-10 scale

Patient received tx sessions this week with the following modalities IFC with MHP to CS STM with MFR

to CS it mobs with grade to CS US to CS/tLrapezuis msl groups mhz w/crn2 Bilateral shoulder wheel lOx

reps each AROM exercises 10 reps each all planes Instruct with ADL compensatory techniques PREs

with yellow theraband bilateral shoulder/elbow flexion/extension

Patient able to tolerate treatment well Required frequent restbreaks between exercises Demonstrated

decreased pain tolerance at this time

Continue with POC to achieve set goals

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 9 of 21 Pg ID 349
TREA TMENT RECORD PROGRESS NOTE Week Endine

Codes Dates of Service 2/9 Date Plan Established

12/10/10 97010 Hot/coldpack

97014 Electrical Muscle

Stimulation

Mppth/Year

DEC 2010

97035 Ultrasoundeacb area

97033 lontophoresis 15 mm each

97018 Paraffin Bath

97034 Contrast Bath

97022 Whirlpool -. 90901 Biofeedback Date of Birth Sex

97016 Vasopneuniatic Therapy

97140 Manual Therapy

97124 Massage Diagnosis

97112 Neuromuscular Re- CERVICAL STRAIN

97530

education

Transfer/Bed Mob Training

SCAPULAR

iNSTABILITY

97116 Gait SHOULDER STRAIN Training

97110 Therapeutic Exercise 15 win ysician

97110- Therapeutic Ex Add 15 mm Dr WEINGARTEN

97704 Orthotic Trainiflg 15 miii Insurance

97520 Prosthetic Trainiñig 15 win

2Pi_ Traction Mechanical

97542 W/C Management --CoInsurance

97003 OT Evaluation

97004 OT Re-evaluation

.-

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97532 fpgnitive Skills Training

97530 Therapeutic Activities Treatment

97535 Self Care Mngmnt Training

Splint Education

p1int charge

Therapist Initials

As per POC

Assessment In SOAP format

Patient states Pain level in CS 6/10 on 0-10 scale

Patient received lx sessions this week with the following modalities JFC with M7HP to CS STM with MFR

to CSjt mobs with grade 1St to CS US to CS/trapezuis msl groups mhz w/cm2 Bilateral shoulder wheel l5x

reps each AROM exercises 10 reps each all planes Review with ADL compensatory techniques PREs

with green theraband bilateral shoulder/elbow flexiorilextension scapula stretches/PROM

Patient able to tolerate treatment well Required frequent restbreaks between exercises Demonstrated

decreased pain tolerance at this time

Continue with POC to achieve set goals

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 10 of 21 Pg ID 350
TREA TMENT RECORD PROGRESS NOTE Week EndinR

Codes Dates of Service 02109 Date Plan Established

97010 Hot/coldpack

12110/2010

97014 Electrical Muscle Stimulation Month/Year

DEC/ 2010

97035 Ultrasoundeach area Last Name

97033 lontophoresis 15 mm each

97018 Paraffin Bath

97022 Whirlpool

90901 Biofeedback Date of Birth jgj

97140 Manual Therapy Male

97124 Massage fljgposis

97112 Neuromuscular Re-education LUMBAR STRAIN

97530 Transfer/Bed Mob Training

97116 Gait Training

97110 Therapeutic Exercise 15 mm Physician

97110- Therapeutic Ex Add 15 mm Dr WEINGARDEN M.D

97703 Orthotic Training 15 mm Insurance

970 12 Traction Mechanical

97542 W/C Propulsion/Management CoInsurance

--

97002 PT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement --Theranis

97001 PT Evaluation

Treatment

AsperPOT

Therapist Initials

Assessment in SOAP format

am alright today

Lumbar 5/10 on 0-10 scale

Patient received tx session this week with the following modalities

IFC with MHP to LS for 15 mm thx us includes 1Mhz l.3w/cm2 to his Lumbar for rats .functional massage to

Lumbar for 10-15 rats .Therapeutic exercises are given

FN status pain level at Is is about 5/10 on 0/10 scale and tenderness is about 3/5 on 0/5 scale spasm at Is 3/S on 0-5

scale arom @1s is restricted mildly due to pain..muscle power is about 4-/S on 0-5 scale endurance fair- balance

static/dynamic good Pt has mod difficulty to go up down stairs mod difficulty to get in out of the car .patient has

mod difficulty to get up from the low height chair also has mm difficulty with bed mobility .pt has mod difficulty to sleep

on stomach/back for 30 mts mod difficulty to sit for 30 rats and mod difficulty to stand for30 rat patient has mod

difficulty to reach for object from floor due to pain

patient tolerated the treatment well is better with the muscle spasm

Continue with Skilled therapy to reach set goals

Th apist ignature

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 11 of 21 Pg ID 351
TREA TMENT RJSCORJ PROGRESS NOTE Week Endin1rt

Codes Dates of Service 2/17 Date Plan Established

97010 Hot/coklpack 12110110

97014 Electrical Muscle

Stimulation

Month/Year

DEC 2010

97035 Ultrasoundeach areaL Last Name

97033 Iontophoresis 15 mm each

97018 ParaffinBath

97034 Contrast Bath

97022 Whirlpool

90901 Biofeedback Date of Birth Sex

97016 Vasopneumatic Therapy

97140 Manual Therapy

97124 Massage Diainosis

CERVICAL STRAIN

SCAPULAR

INSTABILITY

SHOULDER STRAIN

97112 Neuromuscular Reeducation

97530 Transfer/Bed Mob Training

97116 Gait Training

97110 Therapeutic Exercise 15 mm Physician

97110- Therapeutic Ex Add 15 miii Dr WEJNGARTEN

97704 Orthotic Training 15 mm

--

Insurance

97520 Prosthetic Training 15 ruin

97012 Traction Mechanical

97542 W/C Management CoInsurance

97003 OT Evaluation

97004 OT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97532 Cognitive Skills Training

97530 Therapeutic Activities Treatment

As 97535 Self Care Mngmnt Training per POC

Splint Education

Splint charge --

Therapist Initials

Assessment In SOAP format

Patient states Pain level in CS 5-110 on 0-10 scale

Patient received lx sessions this week with the following modalities IFC with MHP to CS STM with MFR

to CS jt mobs with grade to CS US to CS/trapezuis msl groups mhz wlcm2 Bilateral shoulder wheel Sx

reps each AROM exercises 10 reps each all planes Review with ADL compensatory techniques PREs

with green theraband bilateral shoulder/elbow f1exion/extension scapula stretches/FROM

Patient able to tolerate treatment well Required frequent restbreaks between exercises Demonstrated

decreased pain tolerance at this time

Continue with POC to achieve set goals

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 12 of 21 Pg ID 352
TREA TMENT RECORD PROGRESS NOTE Week Ending

Codes Dates of Service 02/17 Date Plan Established

97010 Hot/coldpack

12/1012010

97014 Electrical Muscle Stimulation Month/Year

97035 Ultrasoundeach area

DEC/ 2010

Last Name

97033 Jontophoresis 15 mm each

97018 Paraffin Bath

97022 Whirlpool

90901 Biofeedback Pttof Birth

97140 Manual Therapy Male

97124 Massage Diagnosis

97112 Neuromuscular Re-education LUMBAR STRAIN

97530 Transfer/Bed Mob Training

97116 Gait Training

--

97110 Therapeutic Exercise 15 mm hvsician

97110- Therapeutic Ex Add 15 mm DrWEENGARDEN MD

97703 Orthotic Training 15 mm Insurance

97O 12 Traction Mechanical

97542 W/C Propulsion/Management CoInsurance

97002 PT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97001 PT Evaluation

Treatment

As per POT

Therapist Initials

Assessment in SOAP format

My lower back is ok todaybut my shoulders bothers me

Lumbar 5/10 on 0-10 scale

Patient received ix session this week with the following modalities

with MIII to LS for 15 mm thx us includes 1Mhz L2w/cm2 to his Lumbar for mts .functional massage to

Lumbar for 10-15 mIs Therapeutic exercises are given

FN status pain level at Is is about 5/10 on 0/10 scale and tenderness is about 3/5 on 0/5 scale spasm at Is 3/S on 0-5

scale arom @ls is restricted mildly due to pain..muscle power is about 4-/S on 0-5 scale endurance fair- balance

static/dynamic good pt has mod difficulty to go up down stairs mod difficulty to get in out of the car .patient has

mod difficulty to get up from the low height chair .also has mm difficulty with bed mobility .pt has mod difficulty to sleep

on stomach/back for 30 mis mod difficulty to sit for 30 mis and mod difficulty to stand for 30 ml patient has mod

difficulty to reach for object from floor due to pain.patient reflzsed to do excs on Thursday due to some other

appointments

patient tolerated the treatment well

Continue with Skilled therapy to reach set goals

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 13 of 21 Pg ID 353
TREA TMENT RECORD PROGRESS NOTE Week EndinEl

Codes Dates of Service 2/24 2/25 Pate Plan Established

97010 Hot/coldpack 12/10/10

97014 Electrical Muscle

Stimulation

Month/Year

DEC 2010

97035 Ultrasoundeach area Last Name

97033 lontophoresis 15 mm each

97018 Paraffinflath

97034

97022

Contrast Bath

Whirlpool

90901 Biofeedback Date of Birth Sex

97016 Vasopneumatic Therapy

97140 Manual Therapy

97124 Massage Diagnosis

CERVICAL STRAIN

SCAPULAR

INSTABILITY

SHOULDER STRAIN

97112 Neuromuscular Reeducation

97530 Transfer/Bed Mob Training

97116 GaitTrauning

97110 Therapeutic Exercise 15 miii Physician

97110- Therapeutic Ex Add IS rain Dr WEINGARTEN

97704 Orthotic Training 15 rain Insurance

97520 Prosthetic Training 15 mm

97012 Traction Mechanical

97542 W/C Management Co-hnsurnnce

97003 01 Evaluation

97004 OT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97532 Cognitive Skills Training

97530 Therapeutic Activities Treatment

97535 Self Care Mngmnt Training AsperPOC

Splint Education

Splint charge

Therapist Initials

Assessment In SOAP format

Patient states Pain level in CS 5/10 on 0-10 scale

Patient received 2tx sessions this week with the following modalities IFC with MHP to CS STM with MFR to

CSjt mobs with grade to CS US to CS/trapezuis msl groups mhz w/cm2 Bilateral shoulder wheel lSx

reps each AROM exercises 10 reps each all planes PREs with green theraband bilateral shoulder/elbow

flexion/extension scapula stretches/PROM established HEP

Patient able to tolerate treatment well Required frequent restbreaks between exercises Demonstrated

decreased pain tolerance at this time

Continue with POC to achieve set goals

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 14 of 21 Pg ID 354
TREA TMENT RECORD PROGRESS NOTE Week Endine

Codes Dates of Service 02/24 02/25 Date Plan Established

12/10/2010

97010 Hot/coldpack

97014 Electrical Muscle Stimulation Month/Year

97035 Ultrasoundeach area

DEC/ 2010

97033 lontophoresis 15 miii each

97018 ParaffIn Bath

97022 Whirlpool

90901 Biofeedback Date of Birth

97140 Manual Male Therapy

97124 Massage Diaanosis

97112 Neuromuscular Re-education LUMBAR STRAiN

97530 Transfer/Bed Mob Training

97116 GaitTraining

97110 Therapeutic Exercise 15 rain Physician

DTWEINGARDENM.D 97110- TherapeuticExAdd 15mm

97703 Orthotic Training 15 mm Insurance

97012 Traction Mechanical

97542 W/C Propulsion/Management Cohnsurance

97002 PT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97001 PT Evaluation

Treatment

As perPOT

Therapist Initials

Assessment in SOAP format

My lower back pain is about 4-5 today

Lumbar 4-5/10 on 0-10 scale

Patient received lx session this week with the following modalities

IFC with Ml- to LS for IS mm thx us includes 1Mhz .2w/cm2 to his Lumbar for rats Junctional massage to

Lumbar for 10-15 rnts Therapeutic exercises are given

FN status pain level at ls is about 4-5/10 on 0/10 scale and tenderness is about 3/5 on 0/5 scale spasm at Is 3/S on 0-

scale aroin @Jls is restricted mildly due to pain..muscle power is about 4-/S on 0-5 scale endurance fair- balance

static/dynamic good pt has mod difficulty to go up down stairs mod difficulty to get in out of the car .patient has

mod difficulty to get up from the low height chair .also has mm difficulty with bed mobility .pt has mod difficulty to sleep

on stomach/back for 30 rats mod difficulty to sit for 30 tins and mod difficulty to stand for 30 mt patient has mod

difficulty to reach for object from floor due to pain

patient tolerated the treatment well is better with the pain level

Continue with Skilled therapy to reach set goals

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 15 of 21 Pg ID 355
PT TREATMENT LOG AND PROGRES NOTE

Codes

97010

Dates of Servie

Hot/cold pack

8/15 1716 8/17 8/18 8/19

xj

Date Plan Established

8/5/201

97032 Electrical Muscle Stimulation Month/Year

8/2011

97035 Ultrasoundeach area Last

97033 lontophoresis is miii each

97018 Paraffin Bath

.97022 Whirlpool

9090 Biofeedback Date of Birth

97140 Manualmerapy

97124 Massage Diaenosis

97112 Neuromuscular Re-educatiqn_ LUMABR STRAIN

97530 Transfer/Bed Mob Training

.97116 GaitTraining

--

97110 Therapeutic Exercise 15 miii Physicuap

971 b-I Therapeutic Ex Add 15 rain LEWERENZ DO

97703 Orthotic Training 15 mlii Insurance

97012 Traction Mechanical

97542 W/C Propulsion/Management CoInsurance

97002 PT Re-evaluation

9583 Manual Muscle testing

95851 ROM Measurement Therapist

97001 PT Evaluation

Therapist Initials 1L

Treatment

AsperPOC

--

Assessment SOAP format

Pt reports LB pain 8/10 LE pain 9/10 with tingling and numbness radiating to ankles

Pt received tx session this week with the following modalities MHPIEMS to LB 20 mm

STM td LB 15 mm ther cxc to include gait training 10 miii balance training 10 mm squats HS curls heel raises hip ABD/ADD sit to stand all performed with use of walker for

balance 10 mm Pts functional status is as followslenderness at It quadriceps 4/5 It hip 3/5

pan spinals 3/5 on 0-5 scale Pt demo severe difficulty ambulating 115 feet and requires use of

rolling walker w/seat Pt has severe limitations asc/desc stairs and requires assist to complete

Pt has max difficulty standing from low height chair and requires use of arm rest to stand Static

balance in standing Poor Dynamic balance in standing Poor Static balance in sitting Fair

Dynamic balance in sitting Fair Pt c/o max difficulty w/bed mobility and waking 2-3 times per

night due to pain Pt has sever-maxe difficulty standing mm w/out LOB or sifting 10 miii

w/out inc pain Pt endurance for activities Poor Pt demo confusion when discussing past medical

history Pt requires assist with all activities at this time

Pt demo improved functional mobility Pt to session fair and required frequent rest periods

Continue with skilled therapy per POC to achieve set goals tn

Therapists Signa

ii -22-- 2U ii

KM RPPT0066946

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 16 of 21 Pg ID 356
0.1 TREATMENT RECORD PROGRESS NOTE

Codes

Dates of Service 8/15 8/17 8/19 Date Plan Egshed

8/05/2011

Month/Year

AUGUST2011

97010 Hot/coldpack

97014 Electrical Muscle

Stimulation

97035 Ultrasoundeach area Last Name

97033 lontophoresis IS ntin each

970 IS Paraffin Bath

97034 Contrast Bath

97022 Whirlpool

90901 Biofeedback Date of Birth 5ç

9706 Vasopneumatic Therapy FEMALE

97140 Manual Therapy

97124 Massage Thognsi

CERVICAL STRAIN R/O

RADICULOPATHY

THORACIC STRAIN

DECREASEDADLS

Physician

Dr LEWERENZ

9712 Neuromuscular Reeducation

97530 Transfer/Bed Mob Trainine

97116 Gaitlraining

97110 Therapeutic Exercise IS mm

97110 Therapeutic Ex Add 15 mm

97704 Orthotic Training 15 nun Insurance

97520 Prosthetic Training nun

9702 Traction Mechanical

97542 W/C Management Colnsuranc.e

97003 OTEvaluatton

97004 01 Re-evaluation

9583 Manual Muscle testing

9585 ROM Measurement Therapist

97532 Cognitive Skills Training

Therapeutic Activities Treatment

97535 Self Care Mngmnt Training As per POT

Splint Education

Splint charge

Therapist Initials

Assessment in SOAP format

Patient states very sore have black eye and dont know how got it Pain level in CS 7/10 on 0-10

scale

Patient received tx sessions this week with the following modalities IFC with MHP to CS STM with MFR

to CS Cervical AROM and stretches lOx reps each Bil UE AROM and stretches lOx reps each Shoulder

wheel lOx2 reps wall walks and wall pulley 10 x2 reps each to increase ROM and decrease pain and stiffness

PRE with yellow theraband bilateral shoulder elbow flex/extfabd/add Instruct with ADL compensatory

techniques to reduce pain and stiffness Pt continues to need minlmod verbal cues to redirect complete tasks

Patient demo with dec pain tend in neck and shoulder msls this week Patient needed frequent rest breaks in

between tx sessions Tolerated tx well with mm discomfort cor._ Continue with POC to achieve set goals

KMRPPT0066995

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 17 of 21 Pg ID 357
P.T TREATMENT RECORD PROGRESS NOTE

Codes Dates of Service .- 5/2 513 5/4 5/5 5/6 Pate Plan Established

97010 Hot/coldpack 4/11/2011

97032 Electrical Muscle Stimulation Month/Year

5/2011

97035 Ultrasoundeach area Last Name

97033 lonphoresis IS mm each

97018 Paraffin Bath

97022 Whirlpoo

90901 Biofeedback Date of Birth ..ç

97140 Manual Therapy

97124 Massage Diagnosis

WHiPLASH/UPPER

TFIORACJC/LS STRAIN

97112 Neuromuscular Re-education

97530 Transfer/Bed Mob Trainin_

97116 GaitTraining

97110 Therapeutic Exercise IS mm ._ Physician

97110-1 Therapeutic Lx Add IS mm SEAN HOBAN MD

97703 Orthotic Training 15 mm

97012 Traction Mechanical

97542 V//C Propulsion/Management CoInsurance

97002 PT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Therapist

9700 PT Evaluation

Treatment

AsperPOC

Therapist Initials cem_1 jL Assessment SOAP format

Pt reports LB pain 7/10 on 0-10 scale

Pt received tx sessions this week with the following modalities MHP1EMS to LB 20 mm

STM to LB 15 mm Therapeutic exercises core strengthening rain hip add/abd 10 reps

set heel to to 10 reps set marching in sitting and standing 10 reps set trunk ROM

Pts functional status is as follows Tenderness at para spinals 3/Son 0-5 scale Pt reports LB

spasms 4/5 after prolong activity Pt has mod difficulty ambulating 135 feet mod difficulty

asc/desc stairs mod difficulty sitting 10 miii and standing 10 mm Pt has mod difficulty

w/over head reaching bathingIgrooming due to pain Pt demo severe limitations w/trunk flex/ext

and lifting objects Pt has severe limitations w/bed mobility due to pain and c/o waking 3-4

times per night

Pt demonstrated decrease tenderness and tol sessions well

Continue with skilled therapy per POC to achieve set goals

SWJ- Vpi

Therapists Signature

KMRPPTOO6554I

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 18 of 21 Pg ID 358
TREATMENT RECORD PROGRESS NOTE

Codes

Dates of Service --s 512 5/4 5/6 Date Plan Established

4/11/2011

97010 Hot/coldpack

97014 Electrical Muscle

Stimulation

Montfi/Year

5/Il

97035 Ultrasoundeach area Last Name

97033 lontophoresis 15 mm each

97018 Paraffin Bath

97034 Contrast Bath

97022 Whirlpool

90901 Biofeedback Date of Birth Sex

97016 Vasopneumatic Therapy MALE

97140 Manual Therapy

91124 Massage Diagnosis

97112 Neuromuscular Re- WHIPLASH CERVICAL

education ______ STRAIN

97530 Transfer/Bed Mob Training

97116 GaitTraining

97110 Therapeutic Exercise 15 mm Physician

97110- Therapeutic Ex Add 15 mm Dr SEAN HOBAN

97704 Orthotic Training 15mm ThIIc9

97520 Prosthetic Training 15 mm

97012 Traction Mechanical

97542 W/C Management CoInsurance

97003 01 Evaluation

97004 01 Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Theranist

97532 çgpitive SkiIs Training

97530 Therapeutic Activities fleatment

97535 Self Care Mngmnt Training

Splint Education

--

As per POT

Splint chargé

Therapist initials

Assessment in SOAP format

Patient states amok today Pain level in CS 7-8/10 on 0-10 scale

Patient received tx sessions this week with the following modalities IFC with MHP to CS STM with MElt

to CS jt mobs with grade to CS US to CS/trapezuis msl groups 3.3 mhz wfcm2 Cervical stretches and

AROM Bilateral shoulder wheel lOx reps each AROM exercises 10 reps each all planes PREs with

yellow theraband bilateral shoulder/elbow flexion/extension Instruct with ADL compensatory technique Core

strengthening exercises Ox

Patient demo with dec pain tend in neck and shoulder rnsls this week Patient needed frequent rest breaks in

between tx sessions Tolerated nc well with mm discomfort

Continue with POC to achieve set goals

Therapists Signature

KMRPPTOO65566

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 19 of 21 Pg ID 359
OS TREATMENT RECORD PROGRESS NOfl

Codes

Dates of Service 9/01 9f02 Date Plan Established

9/01/2011

97010

97014

Hot/coldpack

Electrical Muscle

Stimulation

MonthlYear

SEPTEMBER 2011

97035 Ultrasoundeach area Last Name

97033 lontophoresis 15 mm each

97018 Paraffin Bath

97034 Contrast Bath

97022 Whirlpool

90901 Biofeedback Date of Birth .$g

97016 Vasopneumatic Therapy FEMALE

97140 Manual Therapy

97124 Massage Diagnosis

CERVICAL STRAIN

THORACIC STRAIN

DISCOGENIC DISEASE

97112 Neuromuscular Reeducation

97530 Transfer/Bed Mob Training

97116 Gait Training

97110 Therapeutic Exercise 15 miii Physician

97110- Therapeutic Lx Add 15 mm Dr TERRY REZNICK

97704 Orthotic Training 15 miii Insurance

97520 Prosthetic Training 15 rain

970 12 Traction Mechanical

97542 W/C Management CoInsurance

97003 OTEvaluatica

97004 OT Re-evaluation

95831 Manual Muscle testing

95851 ROM Measurement Therapist

97532 Cognitive Skills Training

97530 Therapeutic Activities Treatment

As 97535 Self Care Mngnint Training per POT

j2it Education

pjnt charge

Therapist Initials

Assessment in SOAP format

Patient states My shoulder and back are very sore barely can move at time Pain level in CStTS Shoulder 7-8110 on 0-10 scale

Patient was evaluated in 30 mint and POC established Patient received ix sessions this week with the following modalities PC with

MHP to CSITS BIL Shoulder STM with MFR to CSFTS BIL Shoulder US to CSflrapezuis ma groups 3.3 mhz w/cin2 Patient fit status

is as follows Tenderness ax CSIL Shoulder 415on 0-5 scale Spasm at upper lower Trapezius Is 4/5 at 0-5 scale Patient is currently

experiencing pain in the neck and shoulder which she rates as 7-SIlO intensity with radiating pain down the 11313 decreased 1313 strength

1315 ROM is limited in flex 140 abd 120 with do pain and stiffliess she requires assistance with ADLs at timesSBA/min i9

including basic meal prep and home maintenance has difticufty with tasks which require overhead reachingflifting and she is expenencing

some decreased endurance endurance Fair Patient also reports numbness and tingling down her arm which is having negative effect on

her OMCIFMC during daily tasks Patient to benefit from OTto improve neck shoulder back and 1313 strength ltOM endurance

coordination AD ability balance safety awareness and to decrease pain.SPECJAL TEST Cervical Compression test -ye

PRECAUT1ON Patient is advised to avoid sudden jerky twisting and turning neither movements at neck and spine nor lift heavy weight at

this time Patient displays motivation to improve her current level of flmction to previous status and is good candidate for skilled 0T

intervention

Patient demo with dec pain tend in neck and back msls week Patient needed frequent rest breaks in between ix sessions Tolerated lx well

with mm discomfort

Continue with POC to achieve set goals

Therapists Signature

KMRPPTOO5I39I

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 20 of 21 Pg ID 360
PT TREATMENT LOG AND PROGRES NOTE

Codes

97010

Dates of Service

Hot/cold pack

8/29 830 8/31 91 9/2 Date Plan Established

--

8/29/2011

97032 Electrical MuscLe Stimulation

L._

Month/Year

8/20fl

97035

9qp

Ultrasoundeach area

tontophoresis IS mm each

L_ Last Name

I_______________________

91018 Paraffin Bath

91022 Whirlpool

90901 Biofeedback Date of Birth Sex

97140

97124

Manual Therapy

Massa Diagnosis

97112 LUMBAR STRAIN

97530

Neuromuscular Re-education

Transfer/Bed Mob Training

97116 Gait Training

971 10 Therapeutic Exercise 15mm Physician

97 HO-I Therapeutic Lx Add IS nun TERRY REZNICK DO

97703 Orthotic Training IS nuin Insurance

97012 Traction Mechanicai

97542 W/CPropulsion/Management CoInsurance

97002 PT Re-evaluation

9583 Manual Muscle testing

95851 ROM Measurement Therapist

97001 PT Evaluation

Treatment

As per POC

Therapist Initials

Assessment SOAP format

Pt reports pain in LB 8/10 pain in rhomboids 7/10 on 0-10 scale

Pt as evaluated and POC established in 30 minutes Pt received tx session this week with

the followina modalities MEW/EMS to LB 20 mm STM to LB IS mitt They US to LB

mm therexc to include side bends trunk ROM seated trunk flex/ext and over head reach 10

mm Pts current level ol fttnction is as follows Tenderness at para spinals is 3/5 lower trap 3/5

rhornhoids 3/S on 0-5 scalt Pt demo mod difficulty ambulating 135 feet sv/out Inc pain Pt

demo mod difficulty asc/desc stairs/ standing from low height chair Pt has max difficulty iv/trunk

flex and ext in standitig Pt demo mod difficulty sv/trunk rotation due to pain Pt demo mod

difticult w/reachine behind back Pt is unable to touch toes at this time

Pt tol sessions tvell

Continue with skilled therapy per POC to achieve set goals

112444L f4Z 4LL4-L 74

Therapist Stgnature

p3

KMRPPTOO5I 382

2:14-cv-11700-PDB-MJH Doc # 1-30 Filed 04/29/14 Pg 21 of 21 Pg ID 361