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Print Form BOSTON SCOLIOSIS MEASUREMENT FORM Date Due Date Contact Ship To Account E-mail Address PO Phone Ship Via Fax City State Zip PATIENT INFORMATION BRACE DESIGN For clinic use ONLY Axilla Sex Diagnosis Previous wearer Yes No Left Right None Thoracic Window Wt Trochanter Extension Ht Lumbar Pad Age Thoracic Extension Patient Name Pad ORTHOSIS INFORMATION Finished Design Modifications radiograph required for finished braces Measurement Abdomen Relief S M o Abdominal Compression Scan...

How to fill out scoliosis form

How to fill out scoliosis form?

1. Begin by carefully reading the instructions provided on the form. This will help you understand the information required and how to accurately fill it out.
2. Start by providing your personal details, such as your name, date of birth, and contact information. Ensure that all the information is spelled correctly and is up to date.
3. Next, you may be asked to provide information about your medical history, including any previous diagnoses or treatments related to scoliosis. Be as thorough as possible, including any relevant dates and details.
4. If you have undergone any imaging tests, such as X-rays or MRIs, you may need to attach copies or provide the relevant information regarding these tests.
5. The form may also require you to answer specific questions about your scoliosis condition, such as the degree of spinal curvature or any related symptoms you may be experiencing. Provide accurate and concise responses.
6. If you are completing the form on behalf of someone else, such as a minor or an individual who cannot fill it out themselves, clearly indicate your relationship to the patient and provide your own contact information.
7. Finally, review the form to ensure that all the required fields are completed and that there are no errors or missing information. Make sure to sign and date the form, if necessary.

Who needs scoliosis form?

1. Individuals who have been diagnosed with scoliosis by a healthcare professional may need to fill out a scoliosis form. This can include both children and adults.
2. Patients who are seeking treatment options or planning to undergo procedures related to scoliosis may be required to complete this form. It provides crucial information for medical professionals to assess the patient's condition and tailor appropriate treatment plans.
3. Medical facilities, such as hospitals, clinics, or specialized scoliosis centers, may use the scoliosis form to collect accurate and comprehensive information about patients with scoliosis. This helps in maintaining proper medical records and ensuring appropriate care and follow-up.

Instructions and Help about scoliosis form

Scoliosis is a curvature of the spine from moderate to severe it can be what we call a secret and then their#39’s a Style curve typically this somebody came into our program that just were being evaluated for scoliosis if it was a very mild curve or what we call just an asymmetry where we didn't#39’t feel like they needed x-rays we would just follow them and kind of watch it as they grow if it came to the point where their curve basin the 20s say 25 up to 30 degrees thence would see that their curve is progressing we would recommend a brace program based on their chronological age and how much growth we think they have left we would anticipate how long they would be in a brace patient here use the Boston brace which was developed here by Dr. John Hall and Bill Miller who started nap Co our brace chef now lots of people around the world use stand we found that#39’s kind of the most successful brace that we#39’ve used each brace is made individually toucans#39’t just take one off the shelf and put it on somebody there definitely you know made to order their#39’s paddingthat'’s put into this race specifically to where that#39’re curved is, and it holds them straighter, so the objective is astral#39’re wearing this brace their spinal straighter so as they grow their curve will not grow more but kind of remain where it is we#39’ll go over all the instructions on how to wear it how tout it on how to take care of your skin how to wean into it kind of answer any questions they have and then send them off to get used to wearing it they carat for about 18 hours a day and if they wear it to school and sleep in it, they can have after school until after dinner to kind of be out of it and do their activities or sports their deal we encourage the kids to be as active astray can the more they kind of just Marat a regular part of their routine theless cumbersome it will be it#39’s just something you got to do it you get up you get dressed you brush your teeth put your brace on and forget about it depending on the exact nature of eachpatient'’s problem whether it#39’s a severe curve a moderate curve somebody whodoesn'’t have a lot of growth left somebody who is very immature and harlots of growth left will depend on basically how long they wear the braceeverybody'’s a little different it#39;really based on your age and your curve even your emotional level to every time they come in we measure their height topee if that#39’re continuing to grow and if we see that we haven't#39’t grown in the last six months their bone age looks like all their bones are fused in their hand Botha done#39’t have any growth left another#39’ve had their period for more than two years we can kind of pretty much be sure that#39’re done growing and then some doctors just kind of either stop the brace or they kind of wean them out of itchier#39’s lots of emotions going other#39’re at an age where fashion and friends and all that is very important they play sports, or they...

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What is scoliosis form?

The scoliosis form is a document used to assess and report the presence and severity of scoliosis, which is a condition characterized by an abnormal curvature of the spine.

Who is required to file scoliosis form?

Typically, healthcare providers, such as physicians or physical therapists, who diagnose scoliosis in patients are required to file the scoliosis form.

How to fill out scoliosis form?

To fill out the scoliosis form, one must provide patient information, medical history, details of the physical examination, measurements of spinal curvature, and any recommended treatments or follow-ups.

What is the purpose of scoliosis form?

The purpose of the scoliosis form is to document the condition of the patient, guide treatment decisions, track progression of the disease, and facilitate communication between healthcare providers.

What information must be reported on scoliosis form?

The scoliosis form must report the patient's personal information, clinical findings, angle of curvature (Cobb angle), symptoms, and treatment plans.