
Doctor's Name: |
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Practice Name: |
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Hospital Affiliation: |
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Date of Exam: |
1. What is my diagnosis?
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2. What type of alternative therapies should/can I try?
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3. How should I quantify my pain?
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4. Will you put me on medications? If so, what are they and are there any side
effects?
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5. Will my insurance cover the treatments?
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6. How often will I need to see you?
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7. Is surgery possibly in my future?
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8. What lifestyle changes, if any, will I need to make?
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9. Who should I call in your office if I have more questions?
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