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CCA NEUROLOGY 1 get better... Better Neurologists. Better Care. Better Results. Date: Phone: 615.550.1800 Fax: 615.550.1819 Name: Reason for seeing the neurologist today: Referring×Primary physician
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Open the symptomdiagnosis 1 - kca form.
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Start by entering your personal information such as your name, age, and contact details.
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Proceed to the symptom section and tick the checkboxes that correspond to the symptoms you are experiencing. Be as specific and accurate as possible.
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If there is a space provided, you may also describe any additional symptoms or concerns that you may have.
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Move on to the diagnosis section where you will be required to select the possible diagnosis options based on your symptoms. Again, be as accurate as possible.
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If there is a space provided, you may also explain any relevant medical history or additional information that could assist in the diagnosis.
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