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WF WEST FLORIDA PAIN MANAGEMENT, P.A. Amended 07/24/07Diagnostic & Interventional Pain Medicine Gerald Trimble, M.D. Susan Alaska, M.D. Name: Age: Date: I. Patient Data Family physician: Who referred
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WF West Florida Pain is a form used for reporting pain management services in the state of West Florida.
Healthcare providers and facilities that provide pain management services in West Florida are required to file WF West Florida Pain.
WF West Florida Pain can be filled out online through the designated portal provided by the state of West Florida.
The purpose of WF West Florida Pain is to track and monitor pain management services provided in West Florida.
Information such as patient demographics, type of pain management services provided, and duration of services must be reported on WF West Florida Pain.
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