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Scoliosis Screening Program Referral/Order Form 4047857553Fill out form and FAX to: 4047857576To be filled out by Scoliosis Screening ProgramClinic Site Clinic Date: Patient Name: Date of Birth: Parent/Guardian
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How to fill out scoliosis screening procedures

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How to fill out scoliosis screening procedures

01
Start by gathering the necessary forms and materials for the scoliosis screening.
02
Ensure that you have a quiet and private area where the screening can take place.
03
Have the individual being screened remove any outer clothing and wear a thin undershirt or sports bra for better visibility.
04
Begin by measuring the individual's height using a stadiometer or similar measuring device.
05
Next, have the individual stand with their back to you and visually assess the spinal curvature. Look for any asymmetry or signs of scoliosis.
06
Instruct the individual to bend forward at the waist with their arms relaxed and hanging down. Observe the curvature of the spine from this position.
07
Use a scoliometer or similar device to measure the angle of trunk rotation (ATR) if necessary.
08
Repeat the screening process annually or as recommended by healthcare professionals to monitor any changes or developments in scoliosis.
09
Document the results of the screening accurately and keep a record for future reference.
10
If any signs or symptoms of scoliosis are present, refer the individual to a healthcare professional for further evaluation and potential treatment.

Who needs scoliosis screening procedures?

01
Scoliosis screening procedures are recommended for children and adolescents, particularly girls, between the ages of 10 and 14.
02
Individuals with a family history of scoliosis or those who have previously been diagnosed with scoliosis may also need screening procedures on a regular basis.
03
Additionally, anyone who experiences back pain, changes in posture, or noticeable asymmetry in their back or shoulders should undergo scoliosis screening.
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Scoliosis screening procedures involve assessing the curvature of the spine to identify any abnormal or excessive lateral curvature.
In most cases, scoliosis screening procedures are required to be conducted by healthcare professionals or school nurses for children of certain age groups.
Scoliosis screening procedures are typically filled out by recording measurements of the spine curvature and any relevant notes or observations during physical examination.
The purpose of scoliosis screening procedures is to detect spinal abnormalities at an early stage, allowing for timely intervention and treatment.
Information reported on scoliosis screening procedures may include the patient's name, age, date of screening, measurements of spinal curvature, and any notes or observations made during the examination.
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