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Patient Intake & History
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Patient Intake & History
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Patient Intake & History
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Patient Intake & History
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Subjective
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Chief Complaint
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Other
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Pain intensity
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History of Present Illness (HPI)
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Other
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Onset
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Location
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Duration
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Character
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Aggravating Factors
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Alleviating Factors
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Previous interventions
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Medications
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Other
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Physical Therapy
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Other
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Injections
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Other
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Objective
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Physical Exam Findings: Inspection
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Palpation
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Range of motion
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Strength Testing
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Special Tests
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Imaging
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Diagnosis Codes (ICD-10)
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Lower Extremity Image 1
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Lower Extremity Image 2
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Lower Extremity Image 3
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Lower Extremity Image 4
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Assesment
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Medical Necessity Justification
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Plan
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Treatment
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Follow-Up
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Other
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Patient Education
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