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K. Laotian Questionnaire Name: Date: DOB: Age: Who referred you to this practice? Who is your primary care physician? MAIN reason for this visit: WHEN AND HOW did the pain start? For Nurse use only:
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How to fill out k liao - spine
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To fill out K Liao - Spine, follow these steps:
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Begin by collecting all the necessary information, such as the patient's demographics, medical history, and any relevant diagnostic reports.
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Open the K Liao - Spine form and start by entering the patient's personal details, including their name, age, gender, and contact information.
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Move on to the medical history section and document any previous spine surgeries, injuries, or conditions relevant to the current evaluation.
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Use the designated areas on the form to record the specific symptoms experienced by the patient, such as pain location, frequency, intensity, and any associated symptoms like numbness or weakness.
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