ICF  EVENT Patient Records

HTML BlockAttending Physician



ID030
SportWAKO Kickboxing
Event RoleVolunteer
Representing CountrySweden
Passport Given NameCarola
Passport Family NamePackendorff
Responsible OrganizationICF
GenderFemale
Date of Birth03/02/1977
Date of Treatment08/13/2023
Signature
New Patient1
Region
  • C-Spine
  • T-Spine
  • L-Spine
  • SI
Working Diagnosis

MPS

Therapy
  • Manipulation
  • Mobilization
  • Myotherapy
Return to Play1
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Patient Satisfaction Survey

(To be completed by patient)

Referred Tozero