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CERTIFICATE OF MEDICAL NECESSITY Name of Patient: Age: Date of Last Examination Symptom Onset Sudden Gradual Duration Accident/Injury Yes No Prior CV/EGG/US Tests? Yes Complete EXTREMITYSYMPTOMS Sectional/shoulder/elbow
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The symptom onset can be sudden or gradual, indicating how quickly symptoms appear.
Healthcare providers are typically required to report symptom onset information.
The form for symptom onset typically requires details on the timeline of symptom appearance.
The purpose is to track and monitor the progression of symptoms for medical purposes.
Information such as the date of symptom onset, how quickly symptoms appeared, and any relevant details.
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