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EXAM PACKET OF PDF forms
The full spine musculoskeletal 4-page exam form
The full spine re-exam form
The HCFA guidelines for exam coding by degree of complexity
The patient history form
The Daily Visit form (SOAP, codes used, treatment goals, treatment plan, treatment expectations, etc.)
All come on a CD or via email for you to copy and use "as is" or borrow and add to your own materials.
NEW! CD or EMAIL #136
Full Spine Examination Form--PAPER
This is Drs. Cox's "best attempt" at a "musculoskeletal exam" form that will help in determining the level of examination complexity according to HCFA requirements. This has been under development for several years; HCFA's deadline for requiring it is uncertain. Findings must be written out as well. This is not approved by HCFA, but an attempt at compliance.
packs of 50 forms 4 pages each #76
Re-Examination Form--PAPER
Re-exam is performed every 2 weeks in Dr. Cox's office. It covers cervical, thoracic, lumbar spines, combines the best tests on one form. Room to record subjective scores, compliance, etc.
pads of 50 sheets one page each #49
Patient Subjective Questionnaires & Informed Consent
pack of questionnaire masters and scoring procedures: Pain Drawing -- Quebec Disability Index -- Oswestry (Neck & Low Back) -- Roland-Morris -- Visual Analog Scale -- Lancourt Return to Work Index -- Dr. Cox's Informed Consent -- Low Back School Invitation -- Copenhagen Disability Index
pack of masters one of each test #50
NEW! Masters in PDF format on a CD #50CD
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