• Outline Procedures for New Patients

    Step One - All new patients are requested to fill out a personal health questionnaire prior to their appointment.
    Step Two - Your consultation with a doctor to discuss your health concerns.
    Step Three - Diagnostic neurologic and orthopedic examination procedures to determine if our care is appropriate for your condition. 
    Step Four - You will be advised if there is the need of any additional procedures such as X-rays, MRI, Cat Scan, ENFD or EMG.
    Step Five - Treatment options will be discussed and initiated if appropriate.  If you are not accepted for any reason, referrals to another provider may be necessary.

     

    Confidential Patient Information

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  • IN CASE OF EMERGENCY

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  • CNS Rehab 6200 S 58th Street, suite A
    Lincoln, NE  68516
    (402) 420-2677
  • CNS Rehab Neuropathy Case History

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  • TELL US ABOUT YOUR SYMPTOMS:


  • PAIN QUALITY: Over the past two weeks, did the pain have any of the following features?

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  • SOCIAL HISTORY:

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  • Place a check mark (√) in the appropriate boxes to identify all illnesses/conditions which you know to have occurred in your blood relatives.

    ( Grand Parents-GP ,Father-F ,Mother-M, Brothers-B, Sisters-S ,Sons-sons ,Daughters-D )

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  • CNS Rehab 6200 S 58th Street, suite A
    Lincoln, NE  68516
    (402) 420-2677
  • Should be Empty: