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LYNN M. NELSON, M.D. DES MOINES Orthopedic SURGEONS, P.C. WEST DES MOINES, IA 50266 (515)2245217BACK PRE-ASSESSMENT PERSONAL INFORMATION: NAME: BIRTH DATE: AGE: MALE FEMALE MARITAL STATUS: Married
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Back assessment non-work comp may be needed by individuals who have experienced a back injury or have a pre-existing back condition that is not work-related.
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