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PATIENT ENTRANCE FORM Welcome to Houri Chiropractic and Health Solutions, LLC Patient Information Welcome I How did you hear about our office? lastMIPatient Name: First Social Security # Date of Birth
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How to fill out welcome to Khouri Chiropractic:

01
Start by entering your personal information, including your full name, date of birth, and contact details. This will help us keep track of your records and reach out to you when needed.
02
Next, provide your medical history, including any previous injuries or conditions you have experienced. This information will assist our chiropractors in understanding your specific needs and tailoring their treatment accordingly.
03
Indicate any current symptoms or concerns you may have. This will enable our team to address them effectively during your chiropractic sessions.
04
Fill out any necessary consent forms. These typically include agreements for treatment, insurance coverage, and privacy policies. It is important to carefully read and understand these documents before signing them.
05
Lastly, make sure to ask any questions or clarify any doubts you may have regarding the welcome process or chiropractic care at Khouri Chiropractic. Our staff is here to assist you and provide you with all the necessary information.

Who needs welcome to Khouri Chiropractic:

01
Individuals seeking chiropractic care for pain relief or injury rehabilitation. Chiropractic treatments can be beneficial for a variety of conditions, including back pain, neck pain, headaches, and musculoskeletal injuries.
02
Athletes or active individuals looking to enhance their performance or recover from sports-related injuries. Chiropractic care can help improve mobility, flexibility, and overall physical function.
03
Those interested in maintaining good spinal health and well-being. Chiropractic adjustments can help align the spine, promote proper posture, and prevent future injuries or discomfort.
At Khouri Chiropractic, our aim is to provide personalized care and support to individuals from various backgrounds and conditions. Whether you are in need of pain relief, injury rehabilitation, or general wellness, our dedicated team is here to assist you on your journey to optimal health.
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Welcome to Khouri Chiropractic is a chiropractic clinic that offers various services to help with musculoskeletal issues.
Patients who receive services from Khouri Chiropractic are required to fill out welcome forms upon their initial visit.
Patients can fill out the welcome forms by providing their personal information, medical history, and reason for visiting the clinic.
The purpose of welcome forms at Khouri Chiropractic is to gather important information about the patient's health and medical background to better serve them during their treatment.
The welcome forms at Khouri Chiropractic typically require information such as personal details, medical history, insurance information, and the reason for the visit.
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