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Stage 1 Patient Summary Sheet
Jan 7, 2023
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Welcome to your Stage 1 Patient Summary Sheet
Name
ACE score
Overview of Pain Impact
Wellness Measure
Number of tools used in consults with providers
Time’s up
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Previous:
Progress Note
Next:
Stage 1 Provider Summary Sheet
→
Step 1 Explore your pain
Step 2 Breathing and Chronic Pain
Step 3 Understanding Fascia
Step 4 Understanding Pain
Step 5 Pain and Pacing
Step 6. Stretching and Gentle Movement
Step 7 It’s not all in your Head
Step 8 Connecting
General Health Issues
Severe Pain? Overwhelmed?
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