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Anderson Orthopedic Clinic Thomas H Sanders, MD New Patient History Form Name: Date: DOB: Sex: Height: Weight: Occupation: Employer: Family/Primary Doctors name and address: Who referred you to Dr.
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How to fill out Anderson Orthopaedic Clinic:

01
Start by gathering your personal information such as your full name, date of birth, address, and contact information.
02
Next, provide your medical history, including any past surgeries, injuries, or medical conditions that are relevant to your orthopaedic needs.
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When filling out the forms, be sure to accurately describe your symptoms or concerns, and include any medications or treatments you are currently taking.
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If you have any insurance coverage, make sure to provide your insurance information, including the policy number and any referral or authorization numbers.
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Lastly, sign and date the forms, and make sure to review all the information you have provided to ensure it is complete and accurate.

Who needs Anderson Orthopaedic Clinic:

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Individuals experiencing musculoskeletal pain or injuries, such as fractures, sprains, strains, or joint issues, may need the services of Anderson Orthopaedic Clinic.
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Athletes or individuals involved in sports activities who require specialized orthopaedic care and rehabilitation.
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Those with chronic orthopaedic conditions such as arthritis, osteoporosis, or joint diseases that require ongoing treatment and management.
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Patients in need of orthopaedic surgery, including joint replacement, spinal fusion, or tendon repair.
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Individuals seeking a second opinion or specialized care for complex orthopaedic issues.
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Anyone in need of orthopaedic care and treatment to improve their quality of life, mobility, and overall musculoskeletal health.
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Anderson Orthopaedic Clinic is a medical facility specializing in orthopaedic care.
Patients receiving treatment at Anderson Orthopaedic Clinic may be required to provide personal and insurance information for filing purposes.
Patients can fill out necessary forms provided by the clinic, including personal information, insurance details, and medical history.
The purpose of Anderson Orthopaedic Clinic is to provide comprehensive orthopaedic care to patients in need.
Information such as patient name, contact details, insurance information, medical history, and treatment received must be reported on Anderson Orthopaedic Clinic forms.
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