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Follow up visit
|
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Status of pain
|
|
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Upcoming Medical Appointments
• • •
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Any significant changes in health during the month
|
|
Any Visits to the ER or UC during the month
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Adjunctive pain therapy for additional pain control
|
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Any Issues or SEs from prescribed pain medications
• • •
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Ability to sleep during the night
|
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Recent tobacco or ETOH use during the month
|
place
|
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Physical Therapy
|
|
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Free Text (Activities at Home or
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