| Document Date: 2013-10-29 14:31:01
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Facility University of Connecticut Health Center UCONN Medical Group Comprehensive Spine Center / / MedicalCondition glaucoma / sore throat / abdominal pain / double vision / paralysis / Allergies / cataracts / hoarseness / muscle/joint pain / infection nasal congestion / shortness of breath / arthritis / chills / emphysema chest pain / nausea / skin rash / diabetes / breast pain / personal injury / tremor / headaches night sweats seizure / pain / numbness / vomiting / gout / injury / heart failure / hay fever / head injuries / diarrhea / high blood pressure / dizziness / Cough / joint movement fainting / constipation / depression / back pain / anemia / wheezing / asthma / / MedicalTreatment Massage Therapy / Chiropractic / Acupuncture / Counseling / Biofeedback / Bed Rest / surgery / Physical Therapy / blood transfusions / TENS / Relaxation Therapy / / Organization University of Connecticut / Medical Group Comprehensive Spine Center / Patient Signature/Responsible Party / Bowel Movement / / Person Thomas Test / / Position Procedure Date Physician / favorite chair / Care Physician / doctor/therapist / chair / Forward / General / Procedure Date Surgeon / Referring Physician / / Product Coumadin / / ProvinceOrState Connecticut / / Technology Biofeedback / X-RAY / T-1 / diagnostic tests / MRI / /
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University of Connecticut Health Center UCONN Medical Group Comprehensive Spine Center (Patient Identification)