Get Nsatb Health Assessment Form For The Spine Patient

Filling out the NSATB Health Assessment Form For The Spine Patient online is a crucial step in ensuring you receive the best possible care. By providing detailed and accurate information about your health, you enable healthcare professionals to tailor their approach to your specific needs.

Follow the steps to complete your health assessment form online.

1. Click ‘Get Form’ button to access the NSATB Health Assessment Form. This step allows you to obtain the form in an editable format.
2. Begin by entering your personal information in the 'Patient Demographics' section. Fill in your first name, middle initial, last name, date of birth, race, social security number, ethnicity, marital status, language, and address.
3. Input your contact details including your home phone, cell phone, work phone, and email address. If applicable, provide your out of town address and the details of your emergency contact.
4. Enter your primary care physician and referring physician's information, including their names and contact numbers.
5. Complete the insurance sections by providing the details of your primary and secondary insurance providers, including policy numbers, group numbers, and policyholder information.
6. Fill out the health assessment section specifically related to spine issues. This includes details about your symptoms, when they started, their frequency, and any past treatments you have received.
7. Indicate any imaging studies you have had and any significant medical history, including allergies and past surgeries.
8. Complete the lifestyle section by answering questions regarding your current activity level and any associated injuries.
9. After filling in all the necessary sections, review the form for accuracy. Make sure all required fields are completed.
10. Once all information is complete and verified, you can save your changes, download a copy, or print the form for your records.
11. To submit the completed form, email it securely to the practice's office at info@nsatb.com.

Start filling out your NSATB Health Assessment Form online today to ensure your health needs are met efficiently.