SGP Reference * Clicking NO deletes ALL INPUTS in section below. * * Consider Standard Report as pt IS NOT ABSENT from the described activity Please choose one item only. Please choose one corresponding item only. Please choose one corresponding item only.
? ? ? ? ?
Shoulder-840
Neck sprain-847.0
Thoracic sprain-847.1
Lumbar sprain-847.2
Sacral sprain-847.3
Coccyx sprain-847.4
Elbow and forearm sprain-841
Wrist and hand sprain-842
Hip and thigh sprain-843
Knee and leg sprain-844
Ankle and foot sprain-845
Sacroiliac region sprain-846
Anxiety state unspecified-300.00
Adjustment disorder with depressed mood-309.0
Unspecified acute reaction to stress-308.0
Concussion, unspecified-850.9
* * * Clicking NO deletes ALL INPUTS in section below. *
* Clicking NO deletes ALL INPUTS in section below. * Clicking YES deletes ALL INPUTS in section below. ? ? ?
Physiotherapy
Massage therapy
Kinesiology
Occupational therapy
Chiropractor
Acupuncture
Counselling
* * * * *
Subject:

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