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DURHAM PAIN & SPINE PATIENT INFORMATION FORM (A Division of Brier Creek Integrated Pain & Spine) Patient s Name (Last, First, Middle Initial): Social Security# Patient Address CITY STATE ZIP Home

How to fill out durham pain amp spine

How to Fill Out Durham Pain & Spine:

1. Visit the Durham Pain & Spine website or go to their office location.
2. Obtain the necessary forms and paperwork required for filling out the Durham Pain & Spine form.
3. Provide personal information such as your name, contact details, and date of birth.
4. Fill in your medical history, including any previous diagnoses, surgeries, or ongoing conditions.
5. Provide a detailed description of your current symptoms, including when they started and any triggers.
6. Mention any medications or treatments you are currently taking or have taken in the past.
7. If applicable, provide any information related to insurance or payment options.
8. Double-check all the filled-out information for accuracy and completeness.
9. Submit the completed Durham Pain & Spine form either online or in-person.

Who Needs Durham Pain & Spine:

1. Individuals experiencing chronic pain or discomfort in various parts of their body.
2. People who have previously received medical treatment but are still experiencing pain.
3. Those who have been referred to Durham Pain & Spine by their primary care provider or specialist for further evaluation and treatment.
4. Individuals seeking specialized medical care and expertise for pain management and spinal disorders.
5. Patients who have received a diagnosis or suspect they may have conditions such as spinal stenosis, herniated disc, arthritis, or neuropathy.
6. People who recognize the importance of seeking professional assistance to address their pain issues and improve their quality of life.

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What is durham pain amp spine?

Durham Pain & Spine is a medical clinic that specializes in treating pain and spine conditions.

Who is required to file durham pain amp spine?

Patients receiving treatment at Durham Pain & Spine may be required to provide information for filing purposes.

How to fill out durham pain amp spine?

Patients can fill out necessary information on the forms provided by Durham Pain & Spine during their appointment.

What is the purpose of durham pain amp spine?

The purpose of filing Durham Pain & Spine forms is to maintain accurate medical records and billing information for patients.

What information must be reported on durham pain amp spine?

Information such as patient's personal details, insurance information, medical history, and treatment received must be reported on Durham Pain & Spine forms.