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Front Range Center for Brain Spine Surgery free printable template

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FRONT RANGE CENTER for BRAIN & SPINE SURGE. RY, P.C. 1313 Riverside Ave., Ft. Collins, CO 80524 (970) 493-1292. Ancestry Neck Disability Index. This questionnaire is ...
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How to fill out Front Range Center for Brain & Spine Surgery

01
Obtain the necessary medical documentation from your physician.
02
Visit the Front Range Center for Brain & Spine Surgery website to download or access the patient intake forms.
03
Fill out the patient intake forms accurately, providing all required personal and medical information.
04
Gather any additional paperwork, such as insurance information and identification.
05
Schedule an appointment by calling the clinic or booking online through their patient portal.
06
Arrive at the office on the day of your appointment with completed forms and documentation.

Who needs Front Range Center for Brain & Spine Surgery?

01
Patients experiencing neurological issues such as chronic pain, headaches, or vertigo.
02
Individuals requiring evaluation or treatment for spinal conditions.
03
Patients needing surgical consultation for brain or spine surgery.
04
People suffering from conditions like epilepsy, brain tumors, or degenerative disc disease.

Instructions and Help about neck oswestry

Hi everyone I'm Nick Ortiz I'm a board certified disability insurance attorney and owner of the Ortiz Law Firm today I'm here to talk to you about long term disability claims and neck pain or cervical spine problems the biggest issue is what type of evidence is key for a neck pain problem case well perhaps the most important thing is the medical evidence to support your case in a c-spine case you really want to make sure that you have good objective documentation of the extent and severity of your problem specifically if you have an MRI that is the gold standard test to determine the full extent of the problems going on in your spine an MRI might show for example if you have an annular tear or if you have a herniated disc or a bulging disc perhaps you've had a burst of the disc that's because this is the type of evidence that will show impact on your spinal cord which is your new root endings hold on just a minute I have an idea, so I grabbed a sample vertebra from a lumbar spine this is from a lumbar spine of the lower back, but it basically looks very similar in the cervical spine so well use it just for reference purposes but in essence this is one of your discs this is the central part is also called in the nucleus of the disc you can see here this is the disc between two of the vertebra and again this red part is the nucleus when you have a herniation the nucleus starts to push out of the disc and this is the nerve root or spinal cord and these are nerve root endings so when you've heard the term pinched nerve this nucleus that's herniated is actually pinching into this nerve and this is what causes significant pain so if you have an MRI that shows evidence of a herniated disc that's impacting the nerve then you have objective evidence to support a finding of a condition that's expected to produce significant pain, so this is perfect evidence to use in a case next one of the important things that you could use in your case is a statement from your doctor it could be in the form of a letter or more importantly what we use in our office is a medical source statement or residual functional capacity evaluation report that the doctor fills out that identifies your functional limitations you have as a result of these conditions and that's really what the insurance company needs to know is not just what your condition is having a herniated disc is a diagnosis but what the insurance company is to know is what are your resulting limitations in terms of what you can and cannot do because once they identify what your limitations are then they have a greater understanding of why it is you cannot perform eight hours of work activity just as a simple example if you cannot sit for more than an hour a day due to your condition stand for more than an hour or walk more than an hour in fact most time you're either laying down or sitting in a recliner with your feet propped up there's not a lot of jobs that would let you do that, so this is the kind of...

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The test can be interpreted as a raw score, with a maximum score of 50, or as a percentage. 0 points or 0% means : no activity limitations , 50 points or 100% means complete activity limitation. A higher score indicates more patient-rated disability.
The NDI has become a standard instrument for measuring self-rated disability due to neck pain and is used by clinicians and researchers alike. Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. The obtained score can be multiplied by 2 to produce a percentage score.
The NDI has become a standard instrument for measuring self-rated disability due to neck pain and is used by clinicians and researchers alike. Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. The obtained score can be multiplied by 2 to produce a percentage score.
Instructions: 1. The NDI is scored in the same way as the Oswestry Disability Index. 2. Using this system, a score of 10-28% (i.e., 5-14 points) is considered by the authors to constitute mild disability; 30-48% is moderate; 50-68% is severe; 72% or more is complete.
SCORE DISABILITY LEVEL 0 - 4 No disability 5 - 14 Mild disability 15 - 24 Moderate disability 25 - 34 Severe disability 35 - 50 Completely disabled The Oswestry Disability Index (aka the Oswestry Low Back Pain Disability Questionnaire) is an ex- tremely important tool that researchers and disability evaluators use to
The Neck Disability Index is a revised form of the Oswestry Low Back Pain Questionnaire and is designed to measure the activities of daily living in adults with neck pain. It is useful in both clinical practice and in a research setting.

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Front Range Center for Brain & Spine Surgery is a specialized medical practice that focuses on providing surgical and non-surgical treatment options for patients with neurological and spine conditions.
Typically, healthcare professionals, including surgeons and administrative staff at the Front Range Center for Brain & Spine Surgery, are required to file necessary documentation and reports related to patient care.
To fill out Front Range Center for Brain & Spine Surgery forms, patients need to provide personal information, medical history, insurance details, and any specific health concerns or symptoms they are experiencing.
The purpose of Front Range Center for Brain & Spine Surgery is to diagnose, treat, and manage conditions related to the brain and spine, improving patient outcomes and quality of life.
Information that must be reported typically includes patient demographics, medical history, treatment plans, outcomes, and any relevant clinical data as required by healthcare regulations.
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