Jose Richardson

 
 North County Physical Therapy 
 17815 Countryside Ct 
 Physical Therapy 
 Prunedale, CA 93427-8804 
 Initial 
 Phone: (831)424-5429 
 Fax: (831)663-4222 
 Examination 
 PATIENT: Jose Richardson 
 Date of Initial Examination: 15/02/2015 
 D.O.B: 16/05/1988 
 Injury/Onset/Change of Status Date: 26/12/2019
 Referring Physician(s): Dr Denise Kirby MD 
 Diagnosis: ICD10: S32.2XXA: HIV/AIDS
 Visit No.: 1 
 Treatment Diagnosis: ICD10: S32.2XXA: Anxiety Disorder, 
 Subjective 
 History of Present Condition/Mechanism of Injury: Patient states she did not fracture her coccyx although that is her official 
 diagnosis on the Worker's Comp. forms. 
 Pain Location: Left SI 
 Pain Scale: Worst: 8 Best: 3 Current: 5 
 Pain Description: Sharp 
 Medical History: No Known Significant PMH To Affect Treatment 
 Objective 
 Inspection 
 Patient Consent 
 Patient/Parent/Guardian Consent 
 Yes  
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 GB IA Recv 2022121920739 
 Received 12/19/2022
