Mr. Vincent Wilson III
 
  
 Mr. Vincent Wilson III DOB: 03/1989/04 (74 yo M) Acc No. 72500 
 03/2017/22 
 Mr. Vincent Wilson III DOB: 03/1989/04 (74 yo M) Acc No. 72500 DOS: 03/2020/04 
 LA Health Solutions 
 Initial Visit Chiro-MVA 
 Patient: Mr. Vincent Wilson III 
 Provider: Matthew Laudun, D.C. 
 DOB: 03/1989/04 Age: 74 Y Sex: Male 
 Date: 05/2014/12 
 Reason for Appointment 
 1. Severe constant, throbbing headaches, low back and neck pain 
 History of Present Illness 
 Patient Subjective: 
 Pain (Dolor): 
 Region: Head (Cabeza), Neck (Cuello), Right trap (Trapecio Derecha), Upper back (Espalda Arriba), Mid back 
 (Espalda Media), Low back (Espalda Baja), Sacrum(T. Bone)/Sacro (hueso de la Cola), Left Hip (Cadera 
 Izquierda), Right Hip (Cadera Derecha), Right shoulder (Hombro Derecha), Right Elbow (Codo Derecha) 
 Mechanism of Injury:  
 Accident Information: 
 Injury/Treatment Information 
 Date of injury: 06/2021/13 
 Did this injury occur while on the job? No 
 Parish where accident occurred: Orleans 
 The pain began That day 
 Treatment: Patient did not receive treatment following the accident prior to visiting our office 
 Diagnostic imaging was not performed. 
 Previous injury to affected areas was not reported. 
 Mr. Vincent Wilson III DOB: 03/1989/04 (74 yo M) Acc No. 72500 
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