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ACTIVE Orthopedics, P.C. **Please note this paperwork must be filled out in its entirety and given back to staff prior to leaving your appointment*** Patients Full Name: ___Age:___Sex:___Birthdate:___

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How to fill out painclinicscomclinicsactive-orthopaedics-p-cactive orthopaedics pc

01

Go to the PainClinics website

02

Click on the Clinics tab

03

Search for Active Orthopaedics PC

04

Fill out the required fields with accurate information

05

Submit the form

Who needs painclinicscomclinicsactive-orthopaedics-p-cactive orthopaedics pc?

01

Individuals seeking orthopaedic services from Active Orthopaedics PC

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What is painclinicscomclinicsactive-orthopaedics-p-cactive orthopaedics pc?

active orthopaedics pc is a pain clinic specializing in orthopedic care.

Who is required to file painclinicscomclinicsactive-orthopaedics-p-cactive orthopaedics pc?

Patients seeking orthopedic care are required to file with active orthopaedics pc.

How to fill out painclinicscomclinicsactive-orthopaedics-p-cactive orthopaedics pc?

To fill out the necessary forms and provide accurate medical information.

What is the purpose of painclinicscomclinicsactive-orthopaedics-p-cactive orthopaedics pc?

The purpose of active orthopaedics pc is to provide specialized orthopedic care to patients.

What information must be reported on painclinicscomclinicsactive-orthopaedics-p-cactive orthopaedics pc?

Patient's medical history, current symptoms, and any previous treatments.

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