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How to use or fill out Spine Evaluation Form with our platform
- Click ‘Get Form’ to open the Spine Evaluation Form in the editor.
- Begin by entering your personal information at the top, including your name, account number, and date. Indicate your dominant hand by checking the appropriate box.
- In the 'Chief Complaint' section, specify which part of your spine is concerning you today by selecting from the options provided.
- Detail the onset of your symptoms in the designated area. Be as descriptive as possible about when they began and any preceding events.
- Use the Pain Diagram to illustrate where you feel pain on your body. Utilize the symbols provided to indicate different types of sensations.
- Rate your pain severity over the last two weeks using a scale from 0 to 10 for both back/neck and leg/arm pain.
- Complete sections regarding previous treatments, consultations, and any medications tried. This will help provide a comprehensive view of your condition.
- Finally, review all entries for accuracy before saving or sharing your completed form directly through our platform.
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