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SPINE & SCOLIOSIS SURGERY (IMPORTANT PATIENT INFORMATION FORM) ANSWER EVERY QUESTION! BACK AND LEG PAIN ASSESSMENT (No Prior Back Surgery) 1. NAME: DATE TODAY: 2. AGE: 3. PRESENTLY EMPLOYED? NO SEX:
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How to fill out spine & scoliosis surgery?

01
Begin by collecting all necessary information and documents, such as medical records, imaging reports, and insurance information.
02
Contact the hospital or clinic where the surgery will take place to obtain any required forms or paperwork specific to their facility.
03
Fill out all personal information accurately, including name, date of birth, address, and contact details.
04
Include detailed information about the spine and scoliosis condition, including previous treatments or surgeries, symptoms experienced, and any related medical conditions.
05
Provide information about primary care physicians, orthopedic specialists, or any other healthcare professionals involved in the treatment of the condition.
06
Fill out any additional sections or questionnaires related to the specific surgery, such as preferences for anesthesia or potential blood transfusions.
07
Follow any specific instructions provided by the hospital or surgeon when filling out the forms.
08
Double-check all information for accuracy and completeness before submitting the forms.

Who needs spine & scoliosis surgery?

01
Individuals diagnosed with severe scoliosis that causes significant spinal deformity, pain, or affects their quality of life.
02
Patients with spinal cord compression or nerve compression due to spinal deformity.
03
People who have exhausted non-surgical treatment options for their spine and scoliosis condition and require surgical intervention for relief or improvement.
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Spine and scoliosis surgery is a type of surgical procedure used to correct abnormalities or conditions in the spine, such as scoliosis.
Patients who are undergoing or have undergone spine and scoliosis surgery are required to file the necessary paperwork for insurance and medical records purposes.
To fill out the paperwork for spine and scoliosis surgery, patients need to provide information about their medical history, current condition, and any previous treatments.
The purpose of spine and scoliosis surgery is to correct spinal deformities, relieve pain, and improve the overall function and alignment of the spine.
Information reported on spine and scoliosis surgery includes the type of surgery performed, any complications or risks involved, and post-operative care instructions.
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