MEDICAL HISTORY FORM
Complete the form online, then print it out: ENGLISH SPANISH / ESPAÑOL
Print the form out first, then write in your answers: ENGLISH SPANISH / ESPAÑOL
Some patients may need to fill out a functional score form
FUNCTIONAL SCORE FORMS
DASH: ENGLISH SPANISH / ESPAÑOL
QUICK DASH: ENGLISH SPANISH / ESPAÑOL
PATIENT SPECIFIC FUNCTIONAL SCALE (PSFS): ENGLISH
Don't forget to print out the Medical History Form
DISCRIMINATION IS AGAINST THE LAW
Hand Center of Oregon, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Hand Center of Oregon, Inc. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Click HERE for more information.
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