*please select current pain level if applicable in the pain scale shown below*
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Over the last 2 weeks, how often have you been bothered by any of the following problems? 0 = Not at all | 1 = Several Days | 2 = More than half the days | 3 = Nearly everyday
If yes, please answer the following questions below. Thank you!
Tobacco(chew, cigar, pipe, cigarette)
In the past 2 years….
** TB test is needed if the answer is YES to any of the above questions. Proceed with office protocol at that point. If the answer is NO then no further action is required.
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