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THE MCKENZIE INSTITUTE CERVICAL SPINE ASSESSMENT Date GenderName Address TelephoneAgeDate of Birth Referral: GP / Orth / Self / Other Work demands___Work demands___Leisure activities ___ Leisure activities

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How to fill out cervical spine assessment forms

01

Begin by gathering the necessary information such as patient demographics, medical history, and reason for assessment.

02

Review the form and familiarize yourself with the sections to be filled out.

03

Record any symptoms or complaints reported by the patient in the appropriate section.

04

Perform a physical examination to assess range of motion, strength, reflexes, and sensory function.

05

Document any findings from the physical examination accurately on the form.

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Review the completed form for accuracy and completeness before submitting it for review.

Who needs cervical spine assessment forms?

01

Patients who have complaints of neck pain, stiffness, numbness or tingling in the arms, or weakness in the upper extremities may need a cervical spine assessment form to help diagnose and treat their condition.

02

Healthcare professionals such as physicians, physical therapists, and chiropractors may also use cervical spine assessment forms to document and track the progress of their patients with neck and spine issues.

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What is cervical spine assessment forms?

Cervical spine assessment forms are documents used to evaluate the health and condition of the cervical spine.

Who is required to file cervical spine assessment forms?

Healthcare professionals, such as doctors or physical therapists, are typically the ones required to file cervical spine assessment forms.

How to fill out cervical spine assessment forms?

Cervical spine assessment forms can be filled out by providing detailed information about the patient's medical history, symptoms, and results of any physical examinations or imaging tests.

What is the purpose of cervical spine assessment forms?

The purpose of cervical spine assessment forms is to assess the health and function of the cervical spine, diagnose any potential issues, and create a treatment plan.

What information must be reported on cervical spine assessment forms?

Information such as patient demographics, medical history, symptoms, physical examination findings, and results of any imaging tests must be reported on cervical spine assessment forms.

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