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ORTHOTIC EVIL LOWER (AFO, KARO, KO)INTAKE FORMwPatient ___ Age: ___EMR # ___Weight: ___ lbs. Cause of Condition: __ Accident Date of injury / instability:Height:__ Stroke___ ft. ___ in.__ Disease
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The document-librarypdforthosis ankle afo knee is a form to report medical information related to ankle, AFO (Ankle Foot Orthosis), and knee.
Healthcare providers and facilities are required to fill out the document-librarypdforthosis ankle afo knee form.
To fill out the form, healthcare providers need to provide accurate medical information regarding ankle, AFO, and knee conditions.
The purpose of the document-librarypdforthosis ankle afo knee form is to document and report medical information related to ankle, AFO, and knee conditions for insurance and healthcare purposes.
The form must include details about ankle, AFO, and knee diagnoses, treatments, and prognosis.
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