Chief Complaint
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Diagram
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CC Notes
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Progress
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Intensity
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Quality
• • •
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Frequency
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Relieving Factors
• • •
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ADL
• • •
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Tx Gains
• • •
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Regression
• • •
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No New Complaints
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New Complaint
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ROM Diagram
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ROM Notes
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Observation
• • •
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Observation Comments
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Hypertonicity
• • •
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Tenderness Intensity
• • •
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Tightness
• • •
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Muscle Tone Notes
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Chiropractic Evaluation
• • •
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Chiropractic Eval Notes
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|
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Assessment Notes
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Exacerbation of Symptoms
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Patient Response to Tx
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Treatment Progress
• • •
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Treatment Gains
• • •
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Treatment Gains Notes
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Treatment Challenges
• • •
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Treatment Challenges Notes
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Continued Care Warranted
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MTB Reached
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Prognosis
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|
|
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Spinal CMT
• • •
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Extremity CMT
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ART
• • •
|
ART Duration
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PIR
• • •
|
PIR Duration
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Static Stretching
• • •
|
Stretching Duration
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Manual therapy
• • •
|
Manual therapy Duration
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IASTM
• • •
|
IASTM Duration
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Hot Pack
• • •
|
Hot Pack Duration
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Ice Pack
• • •
|
Ice Pack Duration
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MarcPro Plus
• • •
|
MarcPro Plus Duration
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Recovery Pump
• • •
|
Recovery Pump Durration
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Exericse
• • •
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Exercise Duration
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RockTape
• • •
|
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X-Ray Orders
• • •
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MRI Orders
• • •
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Post Tx Notes
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