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Lodes Chiropractic Center Michael Lodes, DC Brett Wharton, DC Patient Name: Date: Address City State Zip Code H. Phone W. Phone Cell Phone Email Address: Date of Birth / / Age Sex: M F Marital Status:
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01
First, gather all the necessary personal information and medical history of the patient.
02
Arrive at Lodes Chiropractic Center and proceed to the reception desk.
03
The receptionist will provide you with a patient information form to fill out. Make sure to provide accurate details.
04
Fill out the form by handwriting or using a computer if available.
05
Include your full name, contact information, date of birth, and any existing medical conditions or injuries.
06
Indicate any specific concerns or symptoms you are experiencing that you would like the chiropractor to address.
07
Submit the completed form to the receptionist.
08
Wait for your turn to meet with Michael at Lodes Chiropractic Center.
09
During the consultation, Michael will review your form and ask further questions regarding your health history.
10
Follow any additional instructions or assessments given by Michael to proceed with the chiropractic treatment.

Who needs lodes chiropractic center michael?

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Anyone experiencing back or neck pain, including both acute and chronic conditions.
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Lodes Chiropractic Center Michael is a chiropractic center run by Dr. Michael Lodes.
Dr. Michael Lodes or any other authorized personnel at the chiropractic center are required to file the necessary paperwork.
The paperwork for Lodes Chiropractic Center Michael can be filled out by providing all the required information about the center's operations and activities.
The purpose of Lodes Chiropractic Center Michael is to provide chiropractic care and services to patients in need.
Information such as patient visits, treatments provided, income generated, expenses incurred, and any other relevant data related to the center's operations must be reported.
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