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PORTSMOUTH FOOT AND ANKLE PM LLC SUMMARY OF NOTICE OF PRIVACY PRACTICES This summary is provided to assist you in understanding the attached Notice of Privacy Practices The attached Notice of Privacy
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Gather necessary information: Before filling out the Portsmouth foot and ankle form, gather all the required information such as your personal details, medical history, current symptoms, and any relevant documentation or test results.
02
Start with personal details: Begin by providing your full name, date of birth, contact information, and insurance details if applicable. This information is crucial for identification and communication purposes.
03
Provide medical history: Fill out the section that requires your medical history, including any previous foot or ankle injuries, surgeries, or chronic conditions. Mention any medications you are currently taking or any allergies to ensure comprehensive and accurate information.
04
Describe current symptoms: In this section, explain the specific symptoms you are experiencing with your foot or ankle. Include details about the duration, severity, and any triggers that worsen the symptoms. The more detailed and specific you are, the better it will help the healthcare provider in understanding your condition.
05
Provide additional information: If there are any relevant diagnostic tests or imaging scans related to your foot or ankle condition, make sure to mention them in this section. This may include X-rays, MRIs, or any other tests that have been conducted previously.
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Sign and date: Once you have completed filling out the form, carefully review the information provided. Ensure all sections are properly filled and accurate. Then, sign and date the form to certify that the information provided is true and correct to the best of your knowledge.

Who needs Portsmouth foot and ankle?

Portsmouth foot and ankle services are typically needed by individuals who are experiencing foot or ankle problems or require specialized care in this area. This may include athletes with sports-related injuries, individuals with chronic foot conditions like arthritis or plantar fasciitis, those who have experienced fractures or trauma to the foot or ankle, or anyone seeking specialized foot and ankle care for diagnosis, treatment, or rehabilitation. Portsmouth foot and ankle services cater to a broad range of foot and ankle-related issues, providing comprehensive evaluation, management, and treatment options for patients in need.
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Portsmouth Foot and Ankle is a medical practice specializing in treating foot and ankle conditions.
Patients who receive treatment at Portsmouth Foot and Ankle are required to have their information filed by the healthcare providers.
Patients can fill out the necessary information at the office during their appointment or online through a patient portal.
The purpose of Portsmouth Foot and Ankle is to provide medical treatment for foot and ankle conditions.
Patient's personal information, medical history, treatment received, and any other relevant details must be reported on Portsmouth Foot and Ankle forms.
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