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UTAH ORTHOPAEDIC SPECIALISTSShoulder Questionnaire Name:___ Date:___ CIRCLE ONE:right handedleft handed1. What happened to your shoulder? ___ 2. Which shoulder?L3. When did it happen?orRDate: ___4.

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Utah Bone & Joint is a medical group specializing in orthopedic care and treatment for bone and joint disorders.

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