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SOTO Patient Intake Survey Thoracic Spine/Restrung Staff to CompletePATIENT NAME: Gender: Male / Female___Patient ID: ______Date of Birth: ___ / ___ / ___ Clinician: ___Body Part ___ Impairment ___
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Foto patient intake survey is a form used to collect information about a patient's medical history, current health status, and any specific needs or concerns.
Healthcare providers, such as doctors, nurses, and medical facilities, are required to file foto patient intake surveys for new patients.
To fill out a foto patient intake survey, the healthcare provider must ask the patient relevant questions and accurately record their responses on the form.
The purpose of foto patient intake survey is to assess the patient's health needs, identify any risk factors, and provide appropriate care and treatment.
Information on foto patient intake survey may include medical history, current medications, allergies, and any symptoms or concerns the patient may have.
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