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ARACHNODITIS
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ADHESIVE
ARACHNOIDITIS
ARTHRITIS
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MAKING DRUGS
ACCESSIBLE
GUILLAIN-BARRE SYNDROME
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LANDRY'S ASCENDING
PARALYSIS
SYRINGOMYELIA
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SYRINX
FMS
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EXPLAINED
FIBROMYALGIA SYNDROME
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TENDER POINT CHART
FIBROMYALGIA
WORKSHEET
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CAN BE USED FOR
ALL CHRONIC PAIN
FIBROMYALGIA AWARENESS
PETITION
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THE INVISABLE
DISEASE
MIGRAINE AND COMORBID
MOOD DISORDERS
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BY MARILYNN LARKIN, MA
MIGRAINE INFORMATION
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FROM JAMA
MIGRAINE PAIN
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MAY ORIGINATE IN
THE MENINGES
MIGRAINE &
COEXISTING CONDITIONS
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AMERICAN C. FOR H-ACHE EDU.
HEMOCHROMATOSIS
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PORPHYRIA CUTANEA
TARDA
PELVIC PAIN
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PELVIC PAIN INFORMATION
PERIPHERAL NEUROPATHY
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SIMPLE FACTS SHEET
THE BIG HURT
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REFLEX SYMPATHETIC DYSTROPHY
REFLEX SYMPATHETIC DYSTROPHY
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RSD EXPLAINED
SPASMOTIC TORTICOLLIS (ST)
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UNIVERSITY OF FLA.
SCIENCE CENTER
EPSTEIN-BARRE VIRUS
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HELP IS HERE
MYALGIC
ENCEPHALOMYELITIS
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CHRONIC FATIGUE SYNDROME
CHRONIC FATIGUE SYNDROME
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REAL LIFE WITH A
PHANTOM DISEASE
TRANSVERSE MYELITIS
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NEUROLOGICAL DISORDERS
SCLERODERMA
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FACT SHEET
SPONDYLITIS ASSOCIATION
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OF AMERICA
LUPUS
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FOUNDATION OF AMERICA
CROHN'S DISEASE
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RESOURCES
NATIONAL VULVODYNIA
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ASSOCIATION
INTERSTITAL CYSTITIS
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ASSOCIATION (ICA)
SJOGREN'S SYNDROME
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FOUNDATION
CRPS
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COMPLEX REGIONAL PAIN SYNDROME
SHINGLES
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INFORMATION
STEM-CELL
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PRIMER
TRIGEMINAL NEURALGIA
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ASSOC. WITH MS
AMYOTROPHIC LATERAL
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SCLEROSIS
DISPELLING THE MYTHS
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ABOUT OPIOIDS
PORPHYRIA
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CUTANEA TARDA
COCCYDYNIA
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TAILBONE PAIN
MPS
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MYOFASCIAL PAIN
IMPORTANT INFO
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MYOFASCIAL PAIN SYNDROME
CMPS
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CHRONIC MYOFASCIAL PAIN
SYMPTOMS OF
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OSTEOARTHRITIS
IMPORTANT INFO
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ON OSTEOARTHRITIS






AS A PAIN PATIENT....

Have you experienced pain episodes so intense, that you were forced to go to the nearest Hospital Emergency Room?

If so, once there, were you given disrespecful and inadequate care at these facilities?

Then our forms below will assist in helping you recieve better care and treatment on future visits, by establishing your diagnosis, medication history and the signature of your Physician, stating such is true.

Please feel free to print out both forms to take to your next appointment with your doctor.

Your physician can then go over these forms, fill them out and you can present them to the ER Staff the next time you return.


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physiciansform1




Patient Complaint Hot Line
For JCAHO

When you receive inadequate pain assessment and management from a JCAHO accredited facility:

Call: 1-800-994-6610 Fax: 1-630-792-5636
Or Write: [email protected]

If you file a complaint with JCAHO, one of the following actions will be taken:
  1. Incorporate in monitoring database.
  2. Review complaint at next survey.
  3. Ask organization to provide written response.
  4. Conduct unannounced on-site evaluation.



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