Get the free ORTHOPEDIC QUESTIONNAIREdoc

SPORTS MEDICINE CENTER, S.C. THE SHOULDER, KNEE AND SPORTS SPECIALISTS BIENNE A. MEJIA, MD TIMOTHY S. COLOGNE, MD ORTHOPEDIC QUESTIONNAIRE TODAYS DATE: NAME: AGE: DOMINANT HAND: Right, Left, Ambidextrous

How to fill out orthopedic questionnairedoc

How to fill out an orthopedic questionnaire:

1. Start by carefully reading the instructions provided on the questionnaire. This will help you understand the purpose of the questionnaire and how to proceed with filling it out.
2. Begin by providing your personal information, such as your full name, contact details, and any other information requested on the form. This ensures that your responses can be accurately identified and processed.
3. Move on to the main section of the questionnaire, where you will be asked a series of questions related to your orthopedic health. It is important to answer each question honestly and to the best of your knowledge.
4. Some questions may require you to provide specific details, such as the location, duration, and intensity of any pain or discomfort you may be experiencing. Be as specific as possible to help the healthcare professional reviewing your questionnaire better understand your condition.
5. If you have any previous or ongoing orthopedic treatments, surgeries, or medications, make sure to provide accurate and complete information about them in the relevant sections. This will assist the healthcare professional in evaluating your medical history and determining the appropriate course of action.
6. In case a question does not apply to you or you do not understand it, do not hesitate to seek clarification or leave it blank, if instructed to do so.
7. Once you have completed all the required sections, review your answers carefully to ensure accuracy. Double-check for any missed questions or inconsistencies.
8. Finally, sign and date the questionnaire as instructed. This verifies that the provided information is accurate to the best of your knowledge.

Who needs an orthopedic questionnaire doc?

1. Individuals experiencing orthopedic pain or discomfort.
2. Patients undergoing or preparing for orthopedic treatments, surgeries, or procedures.
3. People seeking orthopedic consultations or second opinions.
4. Athletes or sports enthusiasts who have sustained orthopedic injuries.
5. Individuals with a known orthopedic condition, seeking ongoing orthopedic care and management.

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