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Kuykendall Chiropractic LLC Your Information. Your Rights. Our Responsibilities. 131 West Blue Starr Drive Clare more, OK 74017 918.283.4355 www.kirkendallchiropractic.com This notice describes how
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How to Fill Out Kirkendall Chiropractic PLLC Your:
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Start by gathering all the necessary documents, such as your personal identification, insurance information, and any relevant medical records.
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Visit the Kirkendall Chiropractic PLLC website or their physical location to obtain the proper forms needed for registration.
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Fill out the required personal information sections, including your name, address, phone number, and email address.
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Provide your insurance details, if applicable, including your insurance provider's name, policy number, and any required authorization numbers.
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Complete the medical history section, providing information about any previous injuries, surgeries, or conditions that may be relevant to your chiropractic care.
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Indicate your reason for seeking chiropractic treatment and any specific concerns or symptoms you are experiencing.
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Review the form for accuracy and completeness, making sure all sections have been filled out properly.
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Submit the filled-out form to Kirkendall Chiropractic PLLC either by hand, mail, or online, depending on the available options.
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Who Needs Kirkendall Chiropractic PLLC Your:
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Individuals experiencing musculoskeletal pains or discomforts, such as back pain, neck pain, or joint pain.
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Note: It's important to consult with a healthcare professional or directly contact Kirkendall Chiropractic PLLC for specific medical advice and to determine if their services are suitable for your individual needs.
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