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Your Family Chiropractor Dr. Tom K. Jensen 5011 S. Burr Oak Place Sioux Falls, SD 57108 (605) 3713346 (605) 3719109 CASE HISTORY 1. Circle the severity (1 No Pain to 10 Very Severe Pain) and the Frequency
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Start by gathering your personal information such as your name, address, phone number, and email address. This will be used to create a patient profile.
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Fill out any medical history forms. These forms will typically ask about any previous injuries, current medications, and any other relevant medical information.
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Panama City Chiropractic is a chiropractic clinic located in Panama City that provides chiropractic services to patients.
Panama City Chiropractic is required to file by the chiropractors working at the clinic.
Panama City Chiropractic form can be filled out by providing the required information about chiropractic services provided.
The purpose of Panama City Chiropractic is to document and report chiropractic services provided to patients.
The information reported on Panama City Chiropractic form includes the type of chiropractic services provided, date of service, and patient information.
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