Epidural Steriod Injection Procedure Medical Form

Current Pain	Cervical/thoracic
Last time's pain	Lumbar
Injection Number
Complications from Prev Inj	Prev inj Complications comments
Position
Area
Level • • •
Medication Injected • • •
Complications	Complication comments
Follow Up • • •	Follow up comments

Epidural Steroid Injections, Cervical or Lumbar

There are 23 copies in use.
Published: July 28, 2015, 2:36 p.m.
Doctor: Dr. History Physical
Rating: +5 /

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