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Dr. Julie Organ, DC 2831 Telegraph Avenue, Oakland, CA 94609 Tel: 510.654.2399 Fax: 510.272.0711 drjulieorman yahoo.com WWW. Julieorman.com Patient History Name: Date: Address: City: State: Zip Code:
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Dr. Julie Orman DC is a Doctor of Chiropractic.
Dr. Julie Orman DC or any other chiropractor who wants to file a specific form.
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The purpose of Dr. Julie Orman DC form is to document chiropractic care provided to patients.
Information such as patient name, date of visit, treatment provided, and any relevant medical history must be reported on Dr. Julie Orman DC form.
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