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CERVICAL/THORACIC NAMEDateTimeFUNCTIONAL INDEX am/PMR Initial Visit Discharge VisitChoose the one answer in each section that best describes your condition.WALKINGCONCENTRATIONWORKHEADACHES I can
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To fill out the form for www.summitortho.com/services/back-neck-spine/cervical or thoracic epidural, follow these steps:
02
Visit the website www.summitortho.com.
03
Navigate to the 'Services' section.
04
Choose 'Back, Neck & Spine' from the menu options.
05
Select either 'Cervical Epidural' or 'Thoracic Epidural' based on your specific needs.
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Click on the selected option to proceed.
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Fill out the required information such as your name, contact details, medical history, and any specific concerns or symptoms you may have.
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Double-check all the information you entered for accuracy.
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Submit the form by clicking on the 'Submit' or 'Send' button.
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Wait for a response from www.summitortho.com regarding your request for a cervical or thoracic epidural.

Who needs wwwsummitorthocomservicesback-neck-spinecervical or thoracic epidural?

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www.summitortho.com/services/back-neck-spine/cervical or thoracic epidural may be needed by individuals experiencing severe or chronic pain in the back, neck, or spine region.
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Specifically, those who may benefit from these procedures include individuals with conditions such as herniated discs, degenerative disc disease, spinal stenosis, or radiculopathy.
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Patients who have not found relief from other non-invasive treatments or medications may also consider cervical or thoracic epidurals as a potential option.
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However, it is important to consult with a medical professional or specialist to determine if these procedures are suitable for your specific condition.
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The wwwsummitorthocomservicesback-neck-spinecervical or thoracic epidural refers to a medical procedure involving the injection of medication into the epidural space surrounding the spinal cord in the cervical or thoracic regions to relieve pain.
Medical professionals who perform cervical or thoracic epidural injections should file the relevant documents regarding the procedure if required by local health regulations or insurance providers.
To fill out the relevant forms, medical professionals should gather patient information, procedure details, and any necessary medical history, and then provide accurate descriptions on the forms as per guidelines.
The purpose of the cervical or thoracic epidural is to provide pain relief for patients suffering from conditions such as herniated discs, spinal stenosis, or other chronic pain issues related to the spine.
Required information typically includes patient identification details, medical condition, type of epidural administered, dosages, and any adverse effects observed post-procedure.
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