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Patient Intake Form Name: Address: City: Physician: Main Problem: Other Concurrent Therapies:Home Phone: Age: Province: Referred By:Ht. Wt. Work Phone: Date of Birth: Postal Code: Emerge. #: Onset:Past
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To fill out the main problem, follow these steps:
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Start by describing the main problem in clear and concise terms.
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Provide any relevant background information or context that will help others understand the problem better.
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Break down the problem into smaller components or sub-problems if necessary.
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Use bullet points or numbered lists to outline the key details or aspects of the problem.
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Offer any available data or evidence to support the existence or severity of the problem.
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If applicable, suggest any potential solutions or strategies that could address the problem.
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Finally, conclude the description of the main problem with a summary or closing statement to emphasize its significance or urgency.
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What is main problem?
Main problem refers to the primary issue or challenge that needs to be addressed.
Who is required to file main problem?
Main problem filing may be required by any individual or organization facing a significant issue.
How to fill out main problem?
To fill out a main problem, one must clearly outline the issue, provide relevant details, and propose potential solutions.
What is the purpose of main problem?
The purpose of a main problem is to highlight and address a critical issue in order to find a resolution.
What information must be reported on main problem?
Information reported on a main problem may include the nature of the issue, its impact, and any proposed solutions.
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