No but I have had to add a form to my practice as I do sports medicine. I have a form now that says that if you were either referred by an athletic trainer/physical therapist at the gym/club you are at then you give me permission to talk to that person about what is going on.
STORY TIME: I had a 12 year old girl come to my office. She was a cheerleader (dolled up like she was 18 and overmade up by her mom who looked like a former prom queen missing her days in HS) and injured her knee two weeks before she saw me. Was called by an athletic trainer who works at the gym saying that tonight (it was 10 pm) she saw the girl without tights on and her leg is black and blue from the knee down and swollen like crazy). I say okay see her tomororw. mom brings her in and it is obvious there is somethign major wrong. bottom line: kid has a growth plate fracture with displacement so needs crutches and ct scan and follow up with surgeon...i calll the athletic trainer and let her know that i told the kid not to do anything so protect her from the coaches cuase coaches are nuts. mom and dad come in the following day for CT scan results without duaghter adn i tell them what is wrong and they bitch me out for 45 mins telling me i violagted hippa by telling the athletci trainer that she can't play..mind you i iddn't give the diagnosis. . .in the sports medicine world this is standard of care.. in the end i told the parents here is a note to get her out of PE and cheerleading and she needs to see surgeon. . .they look at me and say " she has a competition tomorrow, we are the parents we will decide if she can participate or not". they reported me to the illinois department of federal regulation for violation. . .
i was investigated and had everything documented so everything was cleared...but BOTTOM LINE: IT ONLY TAKES ONE!
so needless to say, i have an extra form now that says hey i can talk to the PT, ATC whatever. And they can decline that option too.
