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Fusion Wellness Center Health Questionnaire Dr. Mickey Fusion BS, DC 2415 E. Washington St. Functional Medicine Clinician Bloomington, IL 61704 drfuson.com 3098387011 Names: Date: Please take several

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How to fill out health bquestionaireb - injury

How to fill out a health questionnaire - injury:

01

Start by carefully reading each question on the form. Make sure you understand what information is being asked for and why it is important.

02

Provide accurate and detailed information about your injury. Include the date of the injury, a description of how it occurred, and any treatment or medical attention you received.

03

Be thorough when listing any symptoms or problems related to the injury. Include information about pain levels, mobility limitations, or any other complications you may be experiencing.

04

If you have any medical records or documents related to the injury, attach copies to the questionnaire. This can provide additional information to help healthcare providers understand the full scope of your injury.

05

Take your time and double-check your answers before submitting the questionnaire. Ensure that everything is filled out correctly and that you haven't missed any questions or required information.

Who needs a health questionnaire - injury:

01

Individuals who have recently experienced an injury and are seeking medical treatment or advice.

02

Patients who have a history of injuries and need to provide their medical provider with updated information for ongoing care.

03

People involved in insurance claims or legal cases related to their injury. The health questionnaire can provide valuable documentation for these purposes.

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