Get Ri Lifespan Comprehensive Spine Center Follow-up Patient Questionnaire 2019-2025

Completing the RI Lifespan Comprehensive Spine Center Follow-Up Patient Questionnaire is an essential step in tracking your health progress and pain levels. This guide will help you navigate the online form efficiently, ensuring that you provide all necessary information clearly and accurately.

Follow the steps to fill out the questionnaire online.

1. Click ‘Get Form’ button to access the questionnaire and open it in the document editor.
2. Begin by filling in your personal details, including your name, date of birth, and the current date of service. This information helps the healthcare team identify your records.
3. Indicate if your condition relates to a workman’s compensation issue by selecting 'Yes' or 'No'. This will help tailor your care appropriately.
4. Describe your pain location using the pain drawing section. Mark the areas and use the corresponding symbols to indicate the type of pain you are experiencing.
5. Assess and rate your pain on a scale from 0 to 10, where 0 indicates no pain and 10 represents the worst pain imaginable.
6. Complete the series of questions regarding your symptoms, medical history, and any significant changes in your condition since your last visit.
7. Fill in the Oswestry Low Back Pain Scale by circling the statement that best describes your pain severity in various activities.
8. Review your responses carefully to ensure all sections are filled out accurately, paying special attention to circled answers for the Review of Systems.
9. Once completed, save your changes, and choose to download, print, or share the form, depending on your needs.

Start filling out your questionnaire online today to ensure comprehensive care.