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Get Washington Nerve Institute New Patient Questionnaire Form 2017-2024

Eral Nerve Surgery, Aesthetic & Reconstructive Plastic Surgery www.DucicMD.com Dear Patient: Please read this entire cover letter since it contains important instructions. This Questionnaire is created for patients considering consultation for peripheral nerve problems related to: Nerve Injuries, Chronic Pain Following Any Surgery, Trauma, Oral/Dental Procedures, Peripheral Neuropathy (Upper & Lower Extremities, Meralgia Paresthetica), Post-Herpetic Neuralgia Following Shingles, and Nerve Tumo.

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