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Foot & Ankle History Patient Name: Date: 1. Is your problem related to an injury? If yes, what kind? 2. Where is your pain? Great toe, lesser toe, midfoot, hind foot, ankle?3. How long have you had
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Start by providing your personal information such as name, address, and contact details.
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Next, indicate your insurance information, if applicable.
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Specify the reason for your visit and provide any relevant medical history.
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Follow the instructions to complete any required consent forms.
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Bring any previous medical records or imaging results that may be helpful during your visit.
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Newport Orthopedic Institute is a specialized medical facility that provides orthopedic care and treatment for musculoskeletal conditions, injuries, and surgeries.
Individuals who have received services or undergone procedures at Newport Orthopedic Institute may need to file relevant documentation for insurance claims or medical records.
To fill out Newport Orthopedic Institute documentation, patients should provide personal information, details of services received, and insurance information as required on the forms.
The purpose of Newport Orthopedic Institute is to deliver comprehensive orthopedic care, including diagnosis, treatment, and rehabilitation of orthopedic conditions.
Information that must be reported includes patient details, medical history, specifics of the orthopedic condition, treatments administered, and any follow-up care plans.
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