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HIGH POINT CHIROPRACTIC HEALTH HISTORY FORM Today's Date PERSONAL DATA Name Age Date of Birth Both Parents names (if you are under 18) Home Address City State Zip Home phone () Business Phone () Cell
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High Point Chiropractic Health is a healthcare center that focuses on providing chiropractic care to patients.
Patients who receive services from High Point Chiropractic Health may be required to file their health information.
Patients can fill out their health information at the center or online through the patient portal.
The purpose of High Point Chiropractic Health is to provide chiropractic care and promote overall wellness.
Patients may need to report their medical history, current symptoms, and insurance information on High Point Chiropractic Health forms.
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