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3M Center FOWLER KENNEDY SPORT MEDICINE CLINIC PATIENT REFERRAL FORM Type/ Location of Referral: Sport Medicine Physician Physiotherapy
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How to fill out Fowler Kennedy Sport Medicine:

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Fill out your personal information, including your full name, date of birth, address, and contact information.
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Provide your medical history, including any past injuries or surgeries, current medications, and any pre-existing medical conditions.
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Indicate the reason for your visit and provide details about your current injury or condition. Include information about when the injury occurred, any symptoms you are experiencing, and how it is affecting your daily activities.
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If applicable, provide information about any previous treatments or therapies you have tried for your condition.
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Who needs Fowler Kennedy Sport Medicine:

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Athletes or individuals involved in sports activities who have suffered a sports injury.
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Individuals experiencing chronic or acute musculoskeletal pain or limitations in movement.
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Individuals seeking specialized treatment and rehabilitation for sports-related injuries or conditions.
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Patients referred by their primary care physician or other healthcare professionals for further assessment and treatment by specialists in sports medicine.
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Individuals interested in optimizing their athletic performance and preventing sports-related injuries through proper training, conditioning, and injury prevention techniques.
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Patients looking for expert advice and guidance on sports-related concerns, such as exercise prescription, nutrition, and performance enhancement strategies.
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Fowler Kennedy Sport Medicine is a specialized medical facility that focuses on the treatment and prevention of sports-related injuries.
Athletes, coaches, or individuals seeking treatment for sports-related injuries may be required to file Fowler Kennedy Sport Medicine forms.
To fill out Fowler Kennedy Sport Medicine forms, individuals need to provide personal information, details of the injury or condition, medical history, and any relevant insurance information.
The purpose of Fowler Kennedy Sport Medicine is to provide specialized medical care for athletes and individuals with sports-related injuries, helping them recover and prevent future injuries.
The information reported on Fowler Kennedy Sport Medicine forms may include personal details, injury description, treatment plan, medical history, and insurance information.
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