| Arthritis (Osteoarthritis/Degenerative Joint Disease/DJD) |
Standard Submit |
Standard Submit |
Arthritis Questionnaire |
| Arthritis (Rheumatoid) |
Severe/Degenerative/Disabling |
— |
Arthritis Questionnaire, Will pull Medical Records |
| Back/Joint (Herniated Disc) |
Daily Narcotic Use, 2 or more Narcotic Medications, Surgery within 6 mo |
Medication Combination of Benzodiazepines and Opiates |
Back/Joint Questionnaire |
| Back/Joint (Spinal Injury) |
Daily Narcotic Use, 2 or more Narcotic Medications, Surgery within 6 mo |
Usage of a Pain Pump, Medication Combination of Benzodiazepines and Opiates |
Back/Joint Questionnaire |
| Back/Joint (Injury General) |
Daily Narcotic Use, 2 or more Narcotic Medications, Surgery within 6 mo, Hospitalized within 1 year |
— |
— |
| Carpal Tunnel |
Standard Submit |
Standard Submit |
— |