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250 Beecroft Road, Suite 5 Oakville, ON L6K 3T7 Tel: (905) 8449117 Fax: (905) 8449118 www.haltonchiropractic.ca CHIROPRACTIC NEW PATIENT QUESTIONNAIRE Name: Date: (Last) (First) Address: (Street)
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Start by gathering all the necessary personal information, such as your name, address, contact number, and date of birth.
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Provide your medical history, including any previous injuries, surgeries, or conditions that may be relevant to your chiropractic treatment.
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Describe your current symptoms or concerns in detail, including when they started, how they have progressed, and any activities or movements that aggravate or alleviate them.
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It is helpful to provide a thorough description of your lifestyle, including your occupation, exercise routine, and daily activities. This can give the chiropractor a better understanding of any potential factors contributing to your condition.
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Ask any specific questions or concerns you may have regarding the chiropractic treatment process, so that you can have a clear understanding of what to expect.
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Who needs chiropractic - halton chiropractic?

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Individuals who are experiencing musculoskeletal pain or discomfort, such as back pain, neck pain, or headaches, may benefit from chiropractic care.
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Individuals with poor posture, stress-related tension, or repetitive strain injuries may also benefit from the holistic approach of chiropractic care.
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Those who are looking for a non-invasive, drug-free approach to managing their pain or optimizing their overall health and wellness may find chiropractic care to be a valuable option.
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Chiropractic is a healthcare profession that focuses on the diagnosis, treatment, and prevention of mechanical disorders of the musculoskeletal system, particularly the spine.
Chiropractors who practice in the Halton region are required to file chiropractic reports.
Chiropractors need to fill out the required forms with accurate and detailed information about their practice.
The purpose of chiropractic care in Halton is to help patients improve their musculoskeletal health and overall well-being through non-invasive treatments.
Chiropractors must report details about their patient treatments, outcomes, and any relevant medical history.
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