ICF EVENT PATIENT RECORDS

HTML Block	Attending Physician
Attending Physician	barbara colar
ID	2023
Sport	WAKO Kickboxing
Event Role	Athlete
Representing Country	United States
Passport Given Name	Barbara
Passport Family Name	Colar
Responsible Organization	CHF
Gender	Female
Date of Birth	08/09/1989
Email Address	Email hidden; Javascript is required.
Date of Treatment	08/10/2023
Signature
Terms & Conditions	I agree to the Terms & Conditions
New Patient	1
Pain Type	Subacute (>6 weeks, < 3 months)
Region	Head C-Spine T-Spine L-Spine Shoulder Finger Hip Thigh Knee
Working Diagnosis	For follow up check - and rest
Therapy	Manipulation Mobilization Tape
Return to Play	1
HTML Block	Patient Satisfaction Survey (To be completed by patient)
Referred To	zero