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Detailed Subjective
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Option A) Dictate entire subjective section
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Freehand Subjective
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-or- Option B) Click buttons for detailed subjective section
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Click to proceed with detailed subjective issue #1
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A) Location #1
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Pain Location ("Pain to the___")
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B) When did it Start? #1
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1a) Onset
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1b) Days, weeks, months?*
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2) How did it start?
• • •
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3a) Click if due to trauma
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3b) What Type of Trauma?
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Freehand
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C) Current Therapy #1
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1) Previous Therapy
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1a) Has Previous Treatment Helped?
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2) Has pt seen another doctor for this issue (which doctor)?
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3) Prescribed Any Medications by a Doc?
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4a) Advanced Studies Done
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4b) Type of Advanced Studies/Labs Done
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4c) Imaging/Lab work Results* ("which show___")?
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Freehand
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D) Previously had this condition?
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1a) Has Patient Had this Issue Before?
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1b) Previous treatment*
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2) Has Patient Had Rx Orthotics Before?
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E) Quality and course of pain
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1) Quality
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2) Worst When?
• • •
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3) Worst Pain Rating
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4) Current Pain Rating
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5) Course
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6) What makes pain worse?
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7) What makes pain better?
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Quality and Course Freehand Comments
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F) Signs of Infection?
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1a) Signs of infection
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1b) If YES, what signs of infection
• • •
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Additional Issue #1 Freehand Comments
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If no additional issues, go to Objective templates
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If another complaint, click below to fill out subjective for issue #2
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Click for Issue #2
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A) Location #2
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Pain Location ("pain to the___")
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B) When did it Start? #2
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1a) Onset
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1b) Days, weeks, months?*
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2) How did it start?
• • •
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3a) Click if due to trauma (issue #2)
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3b) What Type of Trauma?
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Freehand
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C) Current Therapy #2
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1a) Current Therapy
• • •
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1b) Has Self-Treatment Helped*
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2) Has pt seen another doctor for this issue?
• • •
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3) Prescribed Any Medications by a Doc?
• • •
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4a) Advanced Studies/Lab Done (#2)?
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4b) Type of Advanced Studies Done?
• • •
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4c) Imaging/Lab work Results* ("which show___")?
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Freehand
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D) Previously had this condition (#2)
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1a) Has Patient Had This Issue Before?
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1b) Previous treatment*
• • •
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2) Previously Prescribed Custom Orthotics?
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E) Quality and Course of Pain (#2)
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1) Quality
• • •
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2) Worst When?
• • •
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3) Worst Pain Rating
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4) Current Pain Rating
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5) Course
• • •
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6) What makes pain worse?
• • •
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7) What makes pain better?
• • •
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Quality and Course Freehand Comments
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F) Signs of Infection?
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1a) Signs of infection
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1b) If YES, what signs of infection
• • •
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Issue #2 Freehand
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Additional Issue #2 Freehand Comments
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If no additional issues, go to Objective templates
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If additional complaint, click below to fill in subjective for issue #3
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Click to proceed to issue #3
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Please Fully Freehand Issue #3
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If no additional issues, go to Objective templates
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-or- Option C) Use Pre-Made Subjective Templates for common deformities. You may use more than one pre-made subjective.
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Heel Pain Subjective
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Heel Pain Subjective
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1) Which Side
• • •
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2) When Did it Start?
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3) Previous treatment
• • •
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4) Click if high heel wearer
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5) Click if bare foot walker
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6) Has patient had custom orthotics?
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Heel pain subjective Freehand
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If no additional issues, go to Objective templates
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Bunion or Tailor's Bunion Subjective
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Bunion/Tailor's Pain Subjective
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1) Which Side
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2) When Did it Start?
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3) Previous treatment
• • •
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4) Click if high heel wearer
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5) Family Hx of Bunions
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6) Previously Prescribed Custom Orthotics?
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Additional Bunion subjective info
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If no additional issues, go to Objective templates
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Hammertoe Subjective
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Hammertoe Subjective
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1) Which Side
• • •
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2) When Did it Start?
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3) Previous treatment
• • •
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4) Has pt had previous toe surgery?
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Additional Hammertoe Subjective Freehand
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If no additional issues, go to Objective templates
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Ball of Foot Pain Subjective
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Ball of Foot Pain Subjective
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1) Location
• • •
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2) When Did it Start?
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4) Previous treatment
• • •
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5) Previously Prescribed Custom Orthotics?
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6) Click if high heel wearer
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Additional Ball of Foot Pain Subjective
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If no additional issues, go to Objective templates
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Injury Subjective
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Injury Subjective
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1) Location "Pain at the ____"
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2) When Did it Start?
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3) What Type of Trauma?
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4a) Current Therapy
• • •
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4b) Has Previous Treatment Helped*
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5) Prescribed Any Medications by a Doc?
• • •
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6) Has pt seen another doctor for this issue?
• • •
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7a) Click if Advanced Studies Done (MRI, Xray, CT, etc)
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7b) What type of advanced studies were done?
• • •
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7c) Imaging/Lab Work Results ("Results show___")?
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8) Current pain level
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Additional Injury Subjective Freehand
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If no additional issues, go to Objective templates
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Rash Subjective
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Rash Subjective
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1) Location of rash "to the____"
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2) When Did it Start?
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3) Course
• • •
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4a) Previous Therapies
• • •
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4b) Has the Previous Treatment helped?
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Additional Rash Subjective Freehand
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If no additional issues, go to Objective templates
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Soft Tissue Mass Subjective
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Soft Tissue Mass Subjective
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1) Location of mass "at the____"
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2) When was it first noticed?
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3) Course
• • •
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Additional Soft Tissue Mass Subjective Freehand
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If no additional issues, go to Objective templates
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Wart Subjective
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Wart Subjective
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1) Location of wart "to the____"
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2) When Did Lesion First Appear?
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3a) Previous treatment
• • •
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3b) Any improvement with therapy?
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Additional Wart Subjective Freehand
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|
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If no additional issues, go to Objective templates
|
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Tendinitis Subjective
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Tendonitis Subjective
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1) Location of pain "to the____"
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2) When Did it Start?
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3) Previous treatment
• • •
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|
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4) What makes it better?
• • •
|
|
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5) What makes it feel worse?
• • •
|
|
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Additional Tendinitis Subjective Freehand
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If no additional issues, go to Objective templates
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