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Patient Information on DISCOGRAPHY Kaiser Permanent San Jose Spinal Diagnostic and Pain Services 250 Hospital Parkway San Jose, CA 95119 (408) 9726283 Cervical, Thoracic, and Lumbar Discography Patient

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How to fill out spinal diagnostic and pain

01

To fill out a spinal diagnostic and pain form, follow these steps:

02

Begin by writing your personal information at the top of the form, including your name, contact details, and any relevant identification numbers.

03

Next, provide a detailed medical history, including any previous spinal conditions or injuries, as well as any ongoing medical treatments or medications you are currently taking.

04

Describe your specific symptoms and pain levels in as much detail as possible. Include information about the location, duration, and frequency of the pain, as well as any triggers or factors that may worsen or alleviate the pain.

05

If you have undergone any previous diagnostic tests or imaging studies related to your spinal condition, make sure to provide those details in the appropriate section of the form.

06

Additionally, mention any lifestyle factors or occupational activities that may contribute to your spinal pain or condition.

07

Finally, review the completed form for accuracy and completeness before submitting it to your healthcare provider.

08

It is important to provide as much detailed and accurate information as possible to ensure an accurate diagnosis and tailored treatment plan.

Who needs spinal diagnostic and pain?

01

Spinal diagnostic and pain forms are typically needed by individuals who are experiencing spinal pain or have been referred to a specialist for evaluation and diagnosis. This may include individuals suffering from conditions such as herniated discs, spinal stenosis, spinal fractures, or other spinal disorders. The form helps healthcare providers gather important information about the patient's medical history, symptoms, and pain levels, which is crucial for making an accurate diagnosis and determining the appropriate treatment plan.

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What is spinal diagnostic and pain?

Spinal diagnostic and pain refers to procedures and tests used to diagnose the source of pain in the spine.

Who is required to file spinal diagnostic and pain?

Healthcare providers and facilities conducting spinal diagnostic and pain procedures are required to file.

How to fill out spinal diagnostic and pain?

The form for spinal diagnostic and pain must be filled out with accurate and detailed information about the procedures and findings.

What is the purpose of spinal diagnostic and pain?

The purpose of spinal diagnostic and pain is to accurately diagnose the source of pain in the spine in order to provide appropriate treatment.

What information must be reported on spinal diagnostic and pain?

Information such as patient demographics, procedure details, findings, and provider information must be reported on spinal diagnostic and pain.

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