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Oregon Spine Care New Patient Questionnaire Name: Birth Date: Current Height: Weight: Chief Complaint: When did your spine problem first begin? Did your pain start because of an: Accident at work
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How to fill out oregon spine care

How to fill out Oregon Spine Care:
01
Begin by gathering all necessary personal information, such as your full name, address, contact details, and insurance information.
02
Next, carefully review each section of the Oregon Spine Care form and provide accurate and up-to-date information. This may include details about your medical history, any previous treatments or surgeries related to spine care, and any current medications or allergies.
03
If you have any specific concerns or symptoms related to your spine, be sure to clearly describe them in the appropriate section of the form. This will help the healthcare provider understand your condition better.
04
Fill out any additional sections of the form that request information about your primary care physician, specialists, or any other healthcare professionals involved in your spine care.
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Consider attaching any relevant medical records or test results that may support your current condition or treatment plan.
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Once you have completed all sections of the form, review it to ensure all information is accurate and legible.
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Finally, sign and date the form to confirm that the provided information is true and correct.
Who needs Oregon Spine Care:
01
Individuals experiencing back pain or spine-related issues, such as herniated discs, spinal stenosis, or chronic pain.
02
Patients who require specialized care and treatment for spinal conditions, as recommended by their primary care physician or specialist.
03
Those seeking comprehensive and multidisciplinary approaches to spine care, including non-surgical treatments, physical therapy, pain management, and surgical interventions, if necessary.
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