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BLUE BELL PHYSICAL THERAPY MEDICAL HISTORY AND SYSTEMS REVIEW Date: Name Age Occupation/ Leisure Activities How did the problem occur? When was the onset of your problem? Onset (Check One) Gradual

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Step 1: Gather all necessary personal information, such as name, address, date of birth, and contact details.

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Step 2: Obtain a referral or prescription from your primary care physician, if required.

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Step 3: Contact Sportsmedicine of Atlanta to schedule an appointment. You can reach them at (insert contact details).

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Step 4: Arrive at the scheduled appointment time and bring any relevant medical records, insurance information, and identification.

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Sportsmedicine of Atlanta is a medical practice specializing in the treatment and prevention of sports-related injuries.

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