patient forms.pdfa cast orthotics braces massage/ultrasound manipulation my pain / discomfort is:...

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Page 1: Patient forms.pdfa Cast Orthotics Braces Massage/Ultrasound Manipulation MY PAIN / DISCOMFORT IS: (circle number) No Pain a Traction Surgery Slight Mild Moderate Severe Excruciating
Page 2: Patient forms.pdfa Cast Orthotics Braces Massage/Ultrasound Manipulation MY PAIN / DISCOMFORT IS: (circle number) No Pain a Traction Surgery Slight Mild Moderate Severe Excruciating
Page 3: Patient forms.pdfa Cast Orthotics Braces Massage/Ultrasound Manipulation MY PAIN / DISCOMFORT IS: (circle number) No Pain a Traction Surgery Slight Mild Moderate Severe Excruciating
Page 4: Patient forms.pdfa Cast Orthotics Braces Massage/Ultrasound Manipulation MY PAIN / DISCOMFORT IS: (circle number) No Pain a Traction Surgery Slight Mild Moderate Severe Excruciating
Page 5: Patient forms.pdfa Cast Orthotics Braces Massage/Ultrasound Manipulation MY PAIN / DISCOMFORT IS: (circle number) No Pain a Traction Surgery Slight Mild Moderate Severe Excruciating
Page 6: Patient forms.pdfa Cast Orthotics Braces Massage/Ultrasound Manipulation MY PAIN / DISCOMFORT IS: (circle number) No Pain a Traction Surgery Slight Mild Moderate Severe Excruciating
Page 7: Patient forms.pdfa Cast Orthotics Braces Massage/Ultrasound Manipulation MY PAIN / DISCOMFORT IS: (circle number) No Pain a Traction Surgery Slight Mild Moderate Severe Excruciating
Page 8: Patient forms.pdfa Cast Orthotics Braces Massage/Ultrasound Manipulation MY PAIN / DISCOMFORT IS: (circle number) No Pain a Traction Surgery Slight Mild Moderate Severe Excruciating