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PAGE ONE TO BE FILLED OUT BY PATIENT NAME: AGE: SEX: M/F DATE: / / Refer MD: Occupation: AFFECTED SHOULDER:(circle) Right LeftDOMINANT SIDE: (circle) Right Left Ambidextrous you have pain? Yes No
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What is Newport Orthopedic Institute?
Newport Orthopedic Institute is a medical facility that specializes in the diagnosis and treatment of orthopedic conditions and injuries. It offers a range of services including surgical and non-surgical options for patients.
Who is required to file Newport Orthopedic Institute?
Typically, individuals seeking medical insurance reimbursements, or healthcare providers submitting claims on behalf of patients, may be required to file documents related to Newport Orthopedic Institute.
How to fill out Newport Orthopedic Institute?
To fill out the required forms for Newport Orthopedic Institute, patients should provide their personal information, medical history, insurance details, and specifics regarding their orthopedic condition or treatment needed.
What is the purpose of Newport Orthopedic Institute?
The purpose of Newport Orthopedic Institute is to provide specialized orthopedic care, including diagnosis, treatment, rehabilitation, and education for patients with musculoskeletal disorders.
What information must be reported on Newport Orthopedic Institute?
Information that must be reported includes patient demographics, nature of the orthopedic issue, prior treatments, diagnostics, and insurance details.
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