PQRI Information Request Form
 

To help our members understand the Medicare 1.5% bonus program (PQRI), PTPN has created a “How to Participate” packet on PRVP Measure #4, “Screening for Fall Risk,” which is now applicable to both physical and occupational therapists. The packet includes the protocol, as well as a series of tests that can be used for the measure.

To receive a copy of the packet, complete the form below:  (* denotes a required field)

First Name *  
Last Name * 
Title * 
Organization * 
Address 1 * 
Address 2 
City*     
State *
Zip *
Phone * 
Fax 
E-mail * 
Comments (optional)