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SPECIALTY ORTHOPAEDICS, PLLC Westchester Spine Institute Cristian Brotea, M.D. PATIENT SPINE QUESTIONNAIREPatient Name ___ Date ___/___/___REFERRING PHYSICIAN NAME: ___Shall we sent report to him/her:YES
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Dr. Cristian Brotea MDHarrison is a medical doctor specializing in internal medicine.
Dr. Cristian Brotea himself or his authorized medical staff are required to file the necessary forms.
Dr. Cristian Brotea MDHarrison should provide all relevant medical information accurately and submit the form to the appropriate authorities.
The purpose of Dr. Cristian Brotea MDHarrison is to document and report medical information related to his patients.
Dr. Cristian Brotea MDHarrison must report medical diagnoses, treatments, medications prescribed, and any other relevant health information of the patients.
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