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NewportCarePatient HistoryMedical Grouper OrthopaedicsNew Patient Shoulder Questionnaire:Occupation: ___Name ___
1. Dominant hand:RightLeft2. How long have you had pain in the shoulder?
3. Was there
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How to fill out orthopedic initial history survey

How to fill out orthopedic initial history survey
01
Begin by gathering basic information such as name, age, address, and contact details of the patient.
02
Record the patient's medical history including any previous surgeries, injuries, or medical conditions.
03
Document the reason for the visit and any specific orthopedic complaints or symptoms the patient is experiencing.
04
Conduct a thorough physical examination focusing on the area of concern, noting any limitations in range of motion or signs of inflammation.
05
Review any imaging studies or test results that have been done prior to the appointment.
06
Create a detailed treatment plan based on the patient's history, examination findings, and imaging results.
07
Review the treatment plan with the patient, including any potential risks or complications, and obtain informed consent before proceeding with any interventions.
Who needs orthopedic initial history survey?
01
Orthopedic initial history survey is needed for patients who are seeking orthopedic care for musculoskeletal injuries, conditions, or concerns.
02
Patients who have a history of orthopedic problems, such as fractures, dislocations, or joint pain, may also require an initial history survey.
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What is orthopedic initial history survey?
The orthopedic initial history survey is a standardized questionnaire used to gather comprehensive information about a patient's medical history, particularly related to orthopedic conditions and treatments.
Who is required to file orthopedic initial history survey?
Healthcare providers, including orthopedic clinics and physicians, are required to file the orthopedic initial history survey for patients undergoing evaluation or treatment for orthopedic issues.
How to fill out orthopedic initial history survey?
To fill out the orthopedic initial history survey, the healthcare provider or the patient should complete all sections of the form accurately, providing detailed responses regarding medical history, current symptoms, previous treatments, and any relevant family history.
What is the purpose of orthopedic initial history survey?
The purpose of the orthopedic initial history survey is to collect essential information that aids in diagnosis, treatment planning, and tracking the patient's progress in orthopedic care.
What information must be reported on orthopedic initial history survey?
The information that must be reported includes patient demographics, medical and surgical history, family medical history, current medications, allergies, and specific orthopedic complaints.
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