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Form No.3166POLICY EXTRACT FROM PREVIOUS / PROPOSAL PAPERS (If the proposal was decided by Divisional Office / Zonal Office / Central Office Please mention the Proposal Number also) Division ___Branch
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How to fill out revised deformity questionnaire

01
To fill out the revised deformity questionnaire, follow these steps:
02
Begin by reviewing the questionnaire instructions and familiarizing yourself with the purpose and format of the questionnaire.
03
Collect all necessary information and documents related to the deformity being assessed. This may include medical records, diagnostic test results, and treatment history.
04
Start by providing your personal information, such as name, contact details, and demographics, as required by the questionnaire.
05
Proceed to answer each question in the questionnaire accurately and honestly. Take your time to consider each question carefully and provide the most appropriate response.
06
Use additional space or comments sections, if available, to provide any relevant details or explanations to support your answers.
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Once you have completed all sections and answered all questions, review your responses to ensure they are complete and accurate.
08
If applicable, seek assistance or clarification from a healthcare professional or the questionnaire administrator to ensure you understand any complex questions or terminology.
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Finally, sign and date the questionnaire, as required, to indicate your agreement with the information provided.
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Submit the completed questionnaire as instructed, whether it be through physical mail, email, or an online submission portal.
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Note: It is important to approach the revised deformity questionnaire with honesty and accuracy to ensure the resulting assessment is reliable and useful. If you are unsure about any aspect of the questionnaire, do not hesitate to seek guidance or clarification.

Who needs revised deformity questionnaire?

01
The revised deformity questionnaire is typically needed by individuals who are seeking a comprehensive assessment and evaluation of their physical deformity. This may include patients with congenital deformities, postoperative deformities, trauma-induced deformities, or acquired deformities due to diseases or conditions.
02
Medical professionals, such as orthopedic surgeons, rehabilitation specialists, or other healthcare providers, may also require the revised deformity questionnaire to assist in diagnosing and determining appropriate treatment plans for their patients.
03
Ultimately, anyone who wants to accurately capture and document their deformity and its impact on their daily life, functionality, and well-being may benefit from completing the revised deformity questionnaire.
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The revised deformity questionnaire is a form used to report any changes or updates to a person's physical deformities.
Individuals who have previously filed a deformity questionnaire and have experienced changes or updates to their physical deformities are required to file a revised deformity questionnaire.
To fill out the revised deformity questionnaire, individuals must provide updated information about their physical deformities, including any new developments or changes since the last filing.
The purpose of the revised deformity questionnaire is to ensure that accurate and up-to-date information about a person's physical deformities is recorded for legal or medical purposes.
Information such as the nature of the deformity, any changes or updates, and the impact of the deformity on daily life must be reported on the revised deformity questionnaire.
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