Pediatric Pelvic Floor Provider Pack
This packet includes everything you need to get started or elevate your treatment of pediatric pelvic floor dysfunction.
Inside the packet you will find editable documents that you can customize for your business with your heading and logos including:
Pre-Evaluation Intake Form
Consent to Treat Form
Homework Chart Template
Evaluation Questions and Flow Guide
Safety Contract for Treatment Form
Neuromuscular Stimulation Unit for Home Use
Abdominal Electrical Stimulation for Bowel Motility Instructions
Perianal Electrical Stimulation for Sensation, Strength & Coordination Instructions
Bowel & Bladder Diary/Log
Investigation for Dry Nights Chart & Instructions
Dry Nights Progress Tracking Chart & Instructions