Use arrow keys to move forward or backward through presentation This is the Diagnosis Form The Doctor must fill this form out at the first exam and all re-exams until the patient is released from care. Use arrow keys to move forward or backward through presentation

The Diagnosis Form Must by Filled In Like This Blacken each square Do NOT use check or X’s

Give the doctor a blank Diagnosis form on the first exam Give the doctor a blank Diagnosis form on the first exam. He/she will return it to you filled out like this. (you will use this for billing… note it has all the ICD-9 codes)

Give the doctor a blank Diagnosis form at each re-exam including the final exam. Be sure to give the doctor the patient’s file with previous (filled in) diagnosis forms so he/she can see what was wrong before.

The Doctor must give a diagnosis for every injured body part. There are 5 “body parts” in each body area. Bones Tendons Ligaments Muscles Nerves

Cervical Spine Injuries For example: DJD/DDD is bones Sprain/strain is tendons Subluxations is ligaments Ligament Laxity is ligaments Myospasm is muscles Myalgia is muscles Nerve injury is nerves Sensation disturbance is nerves Upper extremity weakness is nerves Note: Enthesopathy is “a disorder of tendons” an example of which is tennis elbow. A sprain/strain only lasts 3 weeks (according to Colossus), so at the first re-exam and thereafter, the Doctor will use Enthesopathy instead of sprain/strain.

In each body “area”, the Doctor must diagnose as many of the 5 “parts” as are injured.

Patients heal faster if they take time off work & rest. The Doctor may recommend the patient be on total disability for 30 days. It is up to the patient whether he or she follows the doctor’s orders. That should not stop the Doctor from making such a recommendation. Partial disability for another 60-90 days is common after the first re-exam, too.

The Doctor must make ALL Diagnoses the patient has… Not just chiropractic ones Not just those he treats ALL of them

A leg contusion has the same value in Colossus as a neck sprain/strain. Contusions are bleeding into the tissues, not just the skin. Most Sprain/strains bleed into the tissues and cause internal swelling, thus are a contusion.

Brain Injuries Concussions, which are Mild Traumatic Brain Injuries, are the most overlooked injury in Chiropractic offices. They are worth 5-10 times what a neck injury is worth. Make sure the Doctor reads the Symptoms form. If there are a number of brain symptoms, the diagnosis of Concussion and Traumatic Brain Injury must be made (as well as the other diagnoses like sleep disturbance, fatigue, nausea, dizziness, etc.)

In Summary… The Diagnosis Form is filled out at every exam, initial, re-exam & final. There will be 3 to 6 of these when you are ready to write the narrative report. Make sure they accurately reflect what is wrong with all 5 body “parts” in each body “area.”

The End