Get Open Pdf For Knee Patients - Massachusetts General Hospital - Massgeneral

This guide provides comprehensive and user-friendly instructions for completing the Open PDF For Knee Patients form from Massachusetts General Hospital. Follow these steps to ensure all required information is accurately filled in.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to acquire the document and open it in your preferred online editor.
2. Provide today's date in the designated field, along with your MGH Unit number as noted on your MGH Blue Card.
3. Indicate your title and gender by selecting the appropriate checkbox corresponding to your personal identification.
4. Fill in the date of injury or the onset of symptoms, ensuring the format is consistent with the provided date fields.
5. Enter your full name and address, ensuring accuracy in the street, city, state, and zip code sections.
6. Select the side of the body affected by the injury from the options: right, left, both, or other.
7. In the emergency contact section, provide the names and related phone numbers for individuals to reach in case of emergency.
8. Complete the personal information section, including date of birth, age, and social security number.
9. Select your marital status by checking the appropriate box.
10. Detail your insurance information, ensuring to fill out the insurance company name, policy number, and group number accurately.
11. Indicate your employment status and provide your employer’s details if applicable.
12. If referred by another physician, include their name, contact details, and any relevant referral information.
13. Read and authorize the payment terms, signing your name in the signature field. If you are under 18, a parent or guardian must sign.
14. Proceed to the next pages, filling in the chief complaint, past medical history, and current health status comprehensively.
15. Review each section to ensure all fields are completed before saving your document.
16. Finally, save the changes, and choose to download, print, or share the completed form as necessary.

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