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UT Southwestern Frisco Orthopedic Surgery 12500 Dallas Parkway, Frisco, TX 75033 Phone: 4696049070 Fax: 4696049071PCP Surgical Clearance Request ***Please complete form and fax back to 4696049071
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Start by providing personal information, such as name, age, and contact details.
02
Describe your medical history, including any previous surgeries, injuries, or medical conditions.
03
Detail the specific problem you are experiencing with your orthopaedic health or sports-related injury.
04
Include any relevant diagnostic test results, such as X-rays, MRIs, or CT scans.
05
Outline any current medications you are taking or allergies you may have.
06
Consult with a healthcare provider or orthopaedic surgeon to review and fill out the necessary forms correctly.

Who needs orthopaedic surgery and sports?

01
Athletes who have sustained sports-related injuries, such as torn ligaments, fractures, or muscle strains, may need orthopaedic surgery to repair or correct the issue.
02
Individuals with chronic orthopaedic conditions, such as arthritis, degenerative disc disease, or carpal tunnel syndrome, may benefit from surgical interventions to improve mobility and reduce pain.
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Orthopaedic surgery and sports involve the treatment of injuries or conditions affecting the musculoskeletal system, particularly related to sports and physical activities.
Orthopaedic surgeons, sports medicine physicians, physical therapists, and athletes may be required to file orthopaedic surgery and sports documents.
To fill out orthopaedic surgery and sports documents, medical professionals and athletes must provide detailed information about the diagnosis, treatment, and recovery plan.
The purpose of orthopaedic surgery and sports is to address injuries or conditions affecting the musculoskeletal system, allowing individuals to resume physical activities and sports.
Information such as patient's medical history, diagnosis, treatment plan, surgical procedures, rehabilitation protocols, and follow-up care must be reported on orthopaedic surgery and sports documents.
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