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Office of Sports Medicine Eugene Felling, DO, Team Physician Keystone Hall 124 Button, PA 19530 Telephone: 6106834085 Fax: 6106834664 AUTHORIZATION FOR USE/DISCLOSURE OF PROTECTED HEALTH INFORMATION
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Gather all necessary personal information such as name, address, phone number, and date of birth.
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Fill out any medical history or past injuries. Be sure to include any allergies or chronic conditions that may impact sports participation.
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Provide information about current medications being taken, if any.
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Answer questions about sports activities and level of participation. Include details about specific sports or exercises regularly engaged in.
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Who needs the office of sports medicine:

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Athletes of all levels, from professional to recreational, who require medical assistance or guidance related to sports injuries or performance enhancement.
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Individuals who engage in physical activities or exercise regularly and want to ensure their health and safety during these activities.
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People suffering from sports-related injuries, such as sprains, fractures, or concussions, who require specialized medical attention.
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Coaches, trainers, and sports teams seeking expert advice and support to optimize athletes' performance and minimize the risk of injuries.
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The office of sports medicine is a medical facility specializing in the treatment and prevention of sports-related injuries.
Athletic departments, sports teams, and individuals involved in organized sports are required to file office of sports medicine reports.
To fill out the office of sports medicine report, provide detailed information on any sports-related injuries, treatments received, and preventative measures taken.
The purpose of the office of sports medicine is to ensure the health and safety of athletes by monitoring and treating sports-related injuries.
Information such as the type of injury, treatment received, date of injury, and future prevention plans must be reported on the office of sports medicine.
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