What is your preferred langauge?

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Have you previously been seen at a ReVive Orthopedics Spine & Sports Medicine location?

    • [[{"field_id":18570,"subrules":{"field_id":18361,"value":"New Patient","operator":"Match"}}]]

Are you being seen for a Motor Vehicle Accident or Workers Compensation Claim?

    • [[{"field_id":18571,"subrules":{"field_id":18570,"value":"No","operator":"Match"}}]]

Are you insured by a commercial HMO insurance plan?

¿Ha sido atendido anteriormente en una ubicación de ReVive Orthopedics Spine & Sports Medicine?

    • [[{"field_id":20237,"subrules":{"field_id":20236,"value":"Paciente Nuevo","operator":"Match"}}]]

¿Está siendo atendido por un accidente de vehículo motorizado o por una reclamación de compensación laboral?

    • [[{"field_id":20238,"subrules":{"field_id":20237,"value":"No","operator":"Match"}}]]

¿Está asegurado por un plan de seguro HMO comercial?

    • [[{"field_id":20240,"subrules":{"field_id":20238,"value":"No","operator":"Match"}}]]

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