14 hours ago ABC Auto Insurance PO Box 111 Suisun City, CA 11111-0111 Patient: LAST, FIRST Claim Number: 00-12345-6 D.O.B.: 01/01/1940 Date of Injury: 03/28/2006 CHIROPRACTIC MEDICAL-LEGAL REPORT Dear Mr. Adjustor, This report is submitted as the final report regarding injuries sustained by First >> Go To The Portal
Chiropractic New Patient Intake Form in DOC citychiropracticcenter.com Details File Format DOC Size: 95 KB Download Varieties of Chiropractic Intake Forms
Prenatal Chiropractic Intake Form drgardnerchiro.com Details File Format PDF Size: 101 KB Download The Importance of a Chiropractic Intake Form
The therapy clinics or practitioners who offer chiropractic treatment require their patients and clients to fill out chiropractic intake forms before their sessions are scheduled and will take place. You may also see client intake forms. Related: 5+ Blank Counseling Formss Assessment Forms for Intake 10+ Assessment Intake Forms
Since there are numerous types of chiropractic therapies that highly depends on the method used for the client, there must also be different intake forms to address the varying concerns of a chiropractic therapy client. You may also see patient intake forms.
Immediately following the accident, the patient's main complaints included neck pain and stiffness, pain in the low back, fatigue, and pain in the upper back. Following the accident Mr. Sample drove himself home.
Sample indicated that he had not experienced prior symptoms similar to his current complaints, and was symptom free at the time of the aforementioned accident/onset of May 1, 2007.
Mr. Sample has no current complaints. His Oswestry Neck Disability Index, his General Pain Disability Index, and his Visual Analog Pain Scale scores have all been reduced dramatically.
Though he is not in pain currently it is possible that Mr. Sample may have some minimal residual effects from this incident that may require some occasional additional care, especially in the cervicothoraco junction (C6-T1), and the lower lumbars (L4-L5). These areas will likely be prone to reinjury and onset of traumatic osteoarthritic type conditions. Overall , Mr. Sample appears to have done remarkably well in healing his injuries. He was conscientious at keeping his appointments and following instructions for his care. I could not have asked for a more compliant patient. I believe we have achieved most of the goals of the treatment plan. Currently, he is doing well and is released from my care at this time.
If you do any PI work in your chiropractic practice, it’s likely your patients have (or will) receive a letter from personal injury payers that can have several potentially disastrous effects on your patient’s care, your claims and, ultimately, the reimbursements you receive for your hard work.
Chiropractors need to educate their patients on how to navigate their PI claim: In a perfect world, your patient would be free from any financial conflicts of interest and allowed to focus on getting well. Obviously, in today’s marketplace, this is not the case.
The test is positive when the action causes radicular pain on the side of the flexion and rotation.
The examiner, actively flexes each thigh slowly while holding the other hand on the knee to prevent its flexion. The leg is lifted 90 degrees or until pain prevents further motion. The final angle of flexion at which pain occurs, as well as the location and intensity of the pain are noted by the examiner.
Kemp's Test , which usually confirms fracture, facet syndrome, or disc involvement, was positive on the left side. This test can be done with the patient standing or sitting. While stabilizing the pelvis, the patient's shoulder is firmly forced obliquely backward, downward and medialward.
The patient is told to walk on the heels several steps forward, then back the same way. If the patient has low back complaints and is unable to perform this action because of either pain or weakness, the test is considered positive. The Toe Walk Test was positive.
If this produces pain over the sacroiliac area, the test is positive. Lewin-Gaenslen's Test, which usually indicates a Sacroiliac joint lesion, was positive bilaterally. In this test, the patient lies on one side and pulls the knee of that same side up to the chest, while extending the other thigh.