Kaiser Permanente - Deparment of Physical Medicine and Rehabilitation - mydoctor kaiserpermanente: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and the date at the top of the form. This personal information is essential for identification.
In the 'Main problem you would like addressed today' section, clearly describe your primary concern. This helps healthcare providers understand your needs.
Proceed to fill in details about your pain, including when it began, how it started, and whether it is work-related. Use checkboxes for quick responses.
Mark the pain diagram accurately to indicate where you feel discomfort. Utilize the provided symbols for clarity.
Complete sections on your medical history, including any medications or treatments you've tried. This information is crucial for effective care.
Finally, review all entries for accuracy before signing and dating the document at the end.

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Why am I being sent to a physiatrist?

Physiatrists assess patients, offer treatments to reduce pain and improve function. We help people recovering from acute illnesses, injuries or surgeries, as well as patients with chronic pain. We also treat athletes and weekend warriors. Any specialist can make a physiatry referral.

Why would you see a physiatrist?

On the KP mobile app: Sign on to the KP app, then click View Appointments NEW APPOINTMENT Make an Appointment CONTINUE Primary Care with ANY Provider Select Video visit with any provider. After answering a few questions about your condition, you can choose a location, physician or provider, and a date and