CSU Orthopedic Medicine and Mobility - Pre-Appointment Survey

Orthopedic Medicine and Mobility (OMM) - Part 1

You are receiving this survey because you have booked an appointment with Colorado State University's Orthopedic Medicine and Mobility (OMM) service. To make sure that we are able to meet your goals, we ask you to fill out the following brief survey.

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* 1. What is your pet's name?

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* 2. What is your name?

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* 3. Please provide us with the best way to contact you (e.g. please provide preferred phone number or email address)

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* 4. Please select the option that best describes your goals for this visit.

I would like to establish a diagnosis for my pet's lameness/mobility concerns and I seek information regarding the best treatment

My pet already has an established diagnosis and I am referred for rehabilitation therapy only

My pet already has an established diagnosis but I would like you to confirm this diagnosis and I seek information regarding the best treatment

I am referred for further orthopedic work-up by my vet and am looking for more diagnostics (e.g. CT-scan, MRI etc.)

I am referred for orthopedic surgery

Other (please specify)