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Sample Test Results:
•
My
Home
Page
•
Logout
•
Scheduled Test Information
To print results, please use only the "Printable Version" print button at
the bottom of this page. Please DO NOT use any other print method.
Today's Date : Jan 19, 2011
Prefix:
First Name: Test
Middle Initial :
Last Name: Sample
Suffix :
Street Address (2) : 0 l
Street Address :
City : l
Country : United States
State or Province : Alabama
Postal Code : 00000
Phone Number: (
000
)
000
-
0000
Client Company : Genesis Pilot
Claim / Account Number: 123
Authorization Number : 100003107
Test Language : English
Test To Take : Genesis Pain Impact Test
Test Scheduled to be taken between : 01/19/2011 -01/20/2011
Test Completed : 01/19/2011
Test Status : Completed
Test Score : 8.000000
To print results, please use only the "Printable Version" print button at
the bottom of this page. Please DO NOT use any other print method.
Test Messages :
Interpretation and Recommendation: Based on articles published in
the medical literature, pertaining to the Genesis Pain Impact Test, the
results of the test indicate that this patient has an 85%-94% chance of
having moderate or severe abnormal findings on objective medical
testing, indicating underlying organic pathology, and should take the
Genesis Pain Diagnosis Test.
The Genesis Pain Impact Test is intended to produce information that
will assist when evaluating chronic back, neck, or limb pain. It is not
intended to supplant other evaluation procedures or professional
judgement and is not to be used as the sole basis for accepting or
denying a claim for payment of benefits.
This patient is reporting symptoms that could be due to a side effect of
the medication he or she is taking.
This patient should be evaluated for anxiety and/or depression.
To print results, please use only the "Printable Version" print button at
the bottom of this page. Please DO NOT use any other print method.
Save Changes Printable Version Schedule Additional Test Cancel
View or Print the Authorization Letter

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Genesis pain impact test results

  • 1. Sample Test Results: • My Home Page • Logout • Scheduled Test Information To print results, please use only the "Printable Version" print button at the bottom of this page. Please DO NOT use any other print method. Today's Date : Jan 19, 2011 Prefix: First Name: Test Middle Initial : Last Name: Sample Suffix : Street Address (2) : 0 l Street Address : City : l Country : United States State or Province : Alabama Postal Code : 00000 Phone Number: ( 000 ) 000 - 0000 Client Company : Genesis Pilot Claim / Account Number: 123 Authorization Number : 100003107 Test Language : English Test To Take : Genesis Pain Impact Test Test Scheduled to be taken between : 01/19/2011 -01/20/2011 Test Completed : 01/19/2011 Test Status : Completed Test Score : 8.000000 To print results, please use only the "Printable Version" print button at the bottom of this page. Please DO NOT use any other print method. Test Messages : Interpretation and Recommendation: Based on articles published in the medical literature, pertaining to the Genesis Pain Impact Test, the results of the test indicate that this patient has an 85%-94% chance of having moderate or severe abnormal findings on objective medical testing, indicating underlying organic pathology, and should take the Genesis Pain Diagnosis Test. The Genesis Pain Impact Test is intended to produce information that will assist when evaluating chronic back, neck, or limb pain. It is not intended to supplant other evaluation procedures or professional judgement and is not to be used as the sole basis for accepting or
  • 2. denying a claim for payment of benefits. This patient is reporting symptoms that could be due to a side effect of the medication he or she is taking. This patient should be evaluated for anxiety and/or depression. To print results, please use only the "Printable Version" print button at the bottom of this page. Please DO NOT use any other print method. Save Changes Printable Version Schedule Additional Test Cancel View or Print the Authorization Letter