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VR Use Form

Huntsville Hospital for Women & Chlldren

💊 Game Prescription Rx

Play Is Medicine™ · PHC Studio Staff Portal

Staff Info

Role / Title *Department *

Patient Diagnosis

Select all that apply *

😰 Anxiety/Stress 🩹 Pain Management 🤲 Motor Skills 🧠 Cognitive/Memory 💛 Social/Emotional 👁 Vision/Low Vision 🏥 Post-surgery 🌟 General Wellness

Game Prescription

Prescribed Game(s) * Clinical Notes

Did the Game Help the Child?

Outcome *

😊 Yes! 🤔 Somewhat 😔 Not yet

How did it help?

✅ Reduced anxiety ✅ Less pain ✅ More engaged ✅ Better cooperation ✅ Improved movement ✅ Calmer ✅ Social interaction ⭐ Asked to play again!

Outcome Notes

🎮✅

Rx Submitted!

Sent to info@phcstudio.org
Play Is Medicine™ 💛

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Virtual Reality for Healing, Training, and Performance
PHC Studios brings immersive VR technology to children, cancer survivors, and student performers — helping them heal, learn, and excel.

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