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New Patient/New Condition
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Follow-Up
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HPI
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Duration of symptoms
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Acute onset of symptoms?
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Were symptoms result of a discrete injury?
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Since the last visit (time)
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the patient's symptoms have
• • •
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Symptoms free-text
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Previous physical therapy?
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Previous MRI?
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Progress with physical therapy?
• • •
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Previous MRI comments
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Denies previous injury or treatment
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Denies Medication
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Additional information
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