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MEDICAL/CHIROPRACTIC DISCLAIMER I the undersigned, parent, or guardian of minor, understand although Dr. Douglas Damassé is a Chiropractic Physician, I am not retaining his services for Chiropractic
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How to fill out a medical/chiropractic disclaimer:

01
Begin by entering your personal information: Fill in your full name, address, contact number, and email address. This will ensure that the disclaimer is associated with you and your specific circumstances.
02
Indicate the purpose of the disclaimer: Specify whether it is for a medical or chiropractic practice. This will help clarify the scope and context of the disclaimer.
03
Mention the potential risks and benefits: Outline the possible risks and benefits associated with the medical or chiropractic treatment being provided. This section should provide a clear understanding of what the patient can expect and the potential outcomes.
04
Include a statement of acknowledgment: Include a statement where the patient acknowledges that they understand the information provided and acknowledge the risk involved. This helps confirm that the patient has read and understood the disclaimer.
05
Signature and date: Provide space for the patient's signature and the date they signed the disclaimer. This serves as their confirmation and agreement to the terms outlined.
06
Provide an option for questions: Include contact information for the medical or chiropractic practice so that patients can reach out with any questions or concerns.

Who needs a medical/chiropractic disclaimer:

01
Medical professionals: This includes doctors, surgeons, nurses, physician assistants, and other healthcare providers who provide medical services.
02
Chiropractors: Chiropractors who offer chiropractic treatment, spinal adjustments, or related services may require a disclaimer to inform patients about potential risks and benefits.
03
Clinics and healthcare facilities: Any clinic or healthcare facility that offers medical or chiropractic services should have a disclaimer to protect both the provider and the patient.
04
Patients: Patients who receive medical or chiropractic treatment should also be aware of the potential risks and benefits associated with their treatment. Reading and signing a disclaimer ensures they understand and are aware of what to expect.
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Medical chiropractic disclaimer is a legal statement that outlines the limitations and risks associated with chiropractic treatment.
All chiropractors and medical professionals who provide chiropractic treatment are required to file a medical chiropractic disclaimer.
Medical chiropractic disclaimer can be filled out by providing detailed information about the treatment, risks, and limitations of chiropractic care.
The purpose of medical chiropractic disclaimer is to inform patients about the potential risks and limitations of chiropractic treatment, and to protect the chiropractor from legal liability.
Medical chiropractic disclaimer must include information about the risks and limitations of chiropractic treatment, as well as any alternative treatment options.
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