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Neurology Order Form Fax completed form to: 8339081122anPATIENT INFORMATIONPatient Name: Address: Home Phone: Secondary Contact: Patient Diagnosis & ICD10: Allergies:Date of Birth:Physician Name: Practice
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Neurology is a branch of medicine concerned with the diagnosis and treatment of disorders affecting the nervous system, including the brain, spinal cord, and nerves.
Healthcare providers specializing in neurology, including neurologists and medical facilities that provide neurological services, are typically required to file with the neurology department.
To fill out the neurology department forms, practitioners should provide patient information, diagnosis details, treatment plans, and any relevant medical history required by the department guidelines.
The purpose of the neurology department is to ensure proper treatment and management of neurological disorders and to maintain accurate records for health monitoring and research.
Information that must be reported includes patient identification details, diagnosis, treatment provided, outcomes, and any side effects observed during treatment.
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