{"id":4607,"date":"2020-05-05T19:23:14","date_gmt":"2020-05-05T19:23:14","guid":{"rendered":"https:\/\/www.londonbackpainclinic.com\/london1\/?page_id=4607"},"modified":"2020-05-29T00:51:30","modified_gmt":"2020-05-29T00:51:30","slug":"patient-forms-info","status":"publish","type":"page","link":"https:\/\/www.londonbackpainclinic.com\/london1\/patient-forms-info\/","title":{"rendered":"Patient Forms & Info"},"content":{"rendered":"\t\t
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\n\t\t\t\t\tThese Forms Are For You To Sign\n\t\t\t\t<\/h2>

Please click on each form where it will take you to the page to digitally sign the form.<\/p>\n

All forms can be filled out and emailed\/printed prior to attendance.<\/p>\n<\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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Shockwave Therapy Consent Form<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Physiotherapy PatientConsent Form<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Consent for Chiropractic Treatment<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Patient Consent Form for Nail Surgery<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Consent for Orthotics<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Consent for Podiatry<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Consent for IPRS<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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LBPC Online Consultation Form<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Baseline Patient Specific Activity Scale<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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EQ5D-5L Health Related Quality Form<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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ICHOM Low Back Pain Reference Guide<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Patient Information Neck Disability Index Form<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Oswestry Disability Index<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Sciatica Bothersomeness Index<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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SRS-22<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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St Justine Score<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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VAS Back Leg<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Zung Self-Rating Depression Scale<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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LBPC COVID-19 Questionnaire<\/a><\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

These Forms Are For You To Sign Please click on each form where it will take you to the page to digitally sign the form. All forms can be filled out and emailed\/printed prior to attendance. Shockwave Therapy Consent Form Physiotherapy PatientConsent Form Consent for Chiropractic Treatment Patient Consent Form for Nail Surgery Consent for […]<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4607","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.londonbackpainclinic.com\/london1\/wp-json\/wp\/v2\/pages\/4607","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.londonbackpainclinic.com\/london1\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.londonbackpainclinic.com\/london1\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.londonbackpainclinic.com\/london1\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.londonbackpainclinic.com\/london1\/wp-json\/wp\/v2\/comments?post=4607"}],"version-history":[{"count":34,"href":"https:\/\/www.londonbackpainclinic.com\/london1\/wp-json\/wp\/v2\/pages\/4607\/revisions"}],"predecessor-version":[{"id":5195,"href":"https:\/\/www.londonbackpainclinic.com\/london1\/wp-json\/wp\/v2\/pages\/4607\/revisions\/5195"}],"wp:attachment":[{"href":"https:\/\/www.londonbackpainclinic.com\/london1\/wp-json\/wp\/v2\/media?parent=4607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}