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Get Comprehensive Pain Assessment Form 2013-2024

Ther (describe): ________________________________ Worst Pain in 24 Hours: 0 1 2 3 4 5 6 7 8 9 10    No Pain Moderate Worst Possible Pain Pain In the past 24 hours, how much have the medications or treatments eased your pain? 0 No relief 2 Mild relief 5 Moderate relief Plan for A.

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