referred_physiotherapy) && $dataObj->referred_physiotherapy =='doctor')) checked @endif> Doctor      referred_physiotherapy) && $dataObj->referred_physiotherapy =='other')) checked @endif> Other has_past_physiotherapy) && $dataObj->has_past_physiotherapy =='1')) checked @endif>  Yes      has_past_physiotherapy) && $dataObj->has_past_physiotherapy =='2')) checked @endif>  No

Current Medications

Name
Condition

Other medical conditions to note

(ie. pins, wires, plates, artificial joints, canes..)