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Get Pain Diagram - Apex Medical Center - Apexmedicalcenter
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How to fill out the Pain Diagram - Apex Medical Center - Apexmedicalcenter online
Filling out the Pain Diagram is an essential step in communicating your pain levels to healthcare providers. This guide will provide you with clear instructions to complete the form accurately and easily online.
Follow the steps to fill out the Pain Diagram effectively.
- Click the ‘Get Form’ button to access the Pain Diagram and open it in your preferred document editor.
- Begin by writing your name in the designated field at the top of the form. This identifies you as the user of the diagram.
- In the section labeled 'How long have you had pain?', specify the duration by entering the appropriate number of years, months, weeks, or days.
- Use the body diagram provided on the form to illustrate where you are experiencing pain or other symptoms. Refer to the KEY for guidance on what each symbol represents.
- Indicate your pain level by circling a number on the pain scale provided on the form. This scale ranges from 0 (no pain) to 10 (worst pain imaginable).
- Sign the form in the 'Patient Signature' section to confirm that the information you have provided is accurate.
- Finally, review your form to ensure all sections are completed accurately, then save any changes, download, print, or share the form as necessary.
Take the step to complete your Pain Diagram online today.
The following are six critical sections that must be included: Title. This is either your name (“Affidavit of Jane Doe”) or the specific case information. Statement of identity. The next paragraph tells the court about yourself. ... Statement of truth. ... Statement of facts. ... Closing statement of truth. ... Sign and notarize.
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