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KNEE / LEG HISTORY FORM Patient Name: Date: 1. Who referred you for this problem? 2. Nature of your knee/leg problem. (be specific as you can) RightorLeft3. How long have you had this problem? 4.
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How to fill out knee - leg history
How to fill out knee - leg history
01
Start by gathering all relevant medical records related to your knee and leg history.
02
Make a list of all past injuries, surgeries, and medical conditions related to your knee and leg.
03
Include details such as the date of each event, the type of injury or condition, and any treatments or medications prescribed.
04
Organize your information chronologically, starting with the earliest event and progressing towards the most recent.
05
Include any physical therapy or rehabilitation programs you have participated in for your knee and leg.
06
Be sure to include any current symptoms or issues you are experiencing related to your knee and leg.
07
Summarize your overall medical history and highlight any significant events or milestones.
08
Keep your knee and leg history document updated as any new information or changes occur.
Who needs knee - leg history?
01
Orthopedic surgeons and specialists who are evaluating you for potential knee or leg surgeries.
02
Physical therapists who need a comprehensive understanding of your knee and leg history to develop an appropriate treatment plan.
03
Sports medicine professionals who are managing athletes with knee or leg injuries.
04
Primary care physicians who need to have a complete medical history during routine check-ups or when addressing related concerns.
05
Insurance companies or legal professionals who are reviewing your medical history for claims or legal proceedings.
06
Individuals who are conducting research or studies on knee and leg conditions and treatments.
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