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Patient Questionnaire To be filled out by Patient at time of IME (circle the appropriate answers) Doctorate: Specialty: Location of Exam: Date of Exam: Patients Name Birth Date: Height: Eye Color:
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How to fill out patient questionnaire - jurissolutionscom
How to fill out patient questionnaire - jurissolutionscom:
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Start by accessing the website jurissolutions.com and navigating to the patient questionnaire section.
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Read the instructions provided on the website about how to accurately fill out the questionnaire.
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Begin by entering your personal information such as your name, age, contact details, and any relevant medical history.
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Move on to the specific sections of the questionnaire, which may include questions about your current symptoms, previous treatments, medications, allergies, and lifestyle factors.
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Take your time to carefully respond to each question, ensuring that you provide accurate and complete information.
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If you have any doubts or concerns about a particular question, it is advisable to seek clarification from your healthcare provider or contact the support team of jurissolutions.com.
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Finally, submit the patient questionnaire through the designated submission option on the jurissolutions.com website.
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