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SPORTMED50 College Drive North Bay, ON P1B 5A4CLINICPhone: 705.495.8105Fax: 7054958101A Division of Martel & Mitchell PhysiotherapyREFERRAL FORM Patient Information: Name: Date of Birth: Address:
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Champion Sports Medicine is a branch of medicine that specializes in treating sports-related injuries and conditions.
Champion Sports Medicine practitioners, sports teams, or athletes may be required to file information related to injuries and treatments.
Champion Sports Medicine forms can be filled out by providing detailed information about the injury or condition, treatment received, and any relevant medical history.
The purpose of champion sports medicine is to provide specialized medical care to athletes and individuals involved in sports activities.
Information such as the type of injury, treatment plan, rehabilitation process, and follow-up care must be reported on champion sports medicine forms.
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