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Orthopedic & TMJ Physical Therapy Center Confidential Health Questionnaire Name: D.O.B.: Date: Occupation: ! General Health Questions 1. Have you ever had any of the following conditions or problems?
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How to fill out orthopedic amp tmj physical

How to fill out orthopedic & TMJ physical:
01
Begin by gathering all necessary information and documents, such as the patient's medical history, insurance information, and any previous test results related to their orthopedic and TMJ conditions.
02
Start filling out the patient's personal details section, including their full name, date of birth, address, and contact information. Ensure all information is accurate and up to date.
03
Move on to the medical history section, where you will document any previous injuries or surgeries related to the patient's orthopedic and TMJ conditions. Include details such as the date of the injury/surgery, the type of procedure, and the current status of their recovery.
04
The next step is to document the patient's current symptoms and complaints related to their orthopedic and TMJ conditions. Include details such as the location and intensity of pain, any limitations in movement, and any factors that worsen or alleviate their symptoms.
05
Proceed to record any relevant diagnostic test results, such as X-rays, MRIs, or CT scans. Note the date of the test, the specific area studied, and any significant findings or abnormalities.
06
In the treatment section, document any ongoing treatments the patient is undergoing for their orthopedic and TMJ conditions. This may include medications, physical therapy, chiropractic care, or any other interventions to manage their symptoms or promote healing.
07
If the patient has any allergies or specific medical conditions that could impact their orthopedic and TMJ physical, be sure to record this information accurately.
08
Finally, if there are any additional comments or information that may be relevant to the orthopedic and TMJ physical, include them in the designated section.
Who needs orthopedic & TMJ physical:
01
People experiencing orthopedic issues such as joint pain, muscle weakness, limited range of motion, or musculoskeletal injuries can benefit from an orthopedic physical.
02
Individuals with temporomandibular joint (TMJ) disorders, which can cause jaw pain, clicking or popping sounds, restricted jaw movement, or headaches, can benefit from a TMJ physical.
03
Patients who require pre- or post-operative evaluations for orthopedic procedures or TMJ surgeries would also require an orthopedic and TMJ physical.
Remember to consult with a healthcare professional or orthopedic specialist to determine if an orthopedic and TMJ physical is needed based on your specific condition or symptoms.
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