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Cornerstone Orthopedics & Sports Medicine, P. C Dr. Weber Intake Patient Name: Age: DOB: Today's Date: Preferred Pharmacy Location: (i.e. Walgreens 120th×Sheridan) Tobacco Use? Yes No If yes, Type?
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How to fill out Cornerstone Orthopedics & Sports:

01
Start by gathering all necessary personal information, such as your full name, address, contact number, and date of birth.
02
Provide your current medical insurance information, including the insurance company name, policy number, and any specific instructions or requirements.
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Indicate the reason for your visit to Cornerstone Orthopedics & Sports. Whether it's for a specific injury, chronic pain, or a general check-up, be clear and concise in explaining your medical condition.
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If you were referred by another healthcare provider or physician, make sure to include their name and contact information.
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If applicable, provide a detailed medical history, including any previous surgeries or treatments related to orthopedics or sports injuries. Include information about any medications you're currently taking or allergies you may have.
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Specify any specific concerns or symptoms you're experiencing. Include details such as when the symptoms started, their severity, and any factors that alleviate or worsen them.
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Answer any additional questions that the form may ask regarding your lifestyle, occupation, or previous activities. This information can help the healthcare provider better understand your condition and provide appropriate treatment options.
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Double-check your form for accuracy and completeness before submitting it.
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Who needs Cornerstone Orthopedics & Sports:

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Athletes who have suffered sports-related injuries requiring specialized orthopedic care and treatment.
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Individuals with chronic joint pain or arthritis seeking expert orthopedic solutions.
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Anyone who has experienced a musculoskeletal trauma, such as fractures, dislocations, or sprains, that requires medical attention and rehabilitation.
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Individuals with degenerative conditions, such as osteoarthritis, tendonitis, or cartilage damage, who need specialized orthopedic care.
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Patients seeking joint replacement surgeries, including hip, knee, or shoulder replacements.
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Individuals looking for expert diagnosis, treatment, and prevention of sports-related injuries or orthopedic disorders.
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People of all ages and activity levels who value their joint and musculoskeletal health and are proactive about maintaining it.
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Cornerstone Orthopedics & Sports is a medical practice that specializes in orthopedic care and sports medicine.
Cornerstone Orthopedics & Sports may be required to file by the medical staff or administrative team.
Cornerstone Orthopedics & Sports can be filled out by providing all relevant medical information and reporting any injuries or concerns.
The purpose of Cornerstone Orthopedics & Sports is to provide quality medical care and treatment for orthopedic conditions and sports-related injuries.
Information such as patient demographics, medical history, current medications, and details of the injury or condition must be reported on Cornerstone Orthopedics & Sports forms.
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