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Date Welcome to Anunson Chiropractic Pediatric Evaluation Parent s Form anunsonchiropractic gmail.com // 608. Were you born in a hospital Were you premature Yes No at home Number of weeks Who was present at your birth Obstetrician Were any instruments used for your delivery Was your mother given any drugs during delivery If yes to numb from waist down Were drugs used to get her labor started If yes what was the reason You were late Mom had toxemia Midwife Forceps Dad Other family Vacuum...
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Start by entering your personal information such as your name, address, contact number, and date of birth.
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Provide details about your medical history, including any previous illnesses or surgeries you have undergone.
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Mention any specific symptoms or areas of concern that you would like the chiropractor to address.
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Sign and date the form to signify your consent and agreement with the chiropractic treatment.
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Return the completed form to the receptionist and wait for your appointment with the chiropractor.

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Individuals suffering from chronic back or neck pain may need welcome to anunson chiropractic.
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Welcome to Anunson Chiropractic is a welcoming message introducing patients to the services provided by Anunson Chiropractic.
Patients who visit Anunson Chiropractic are required to fill out the welcome form.
Patients can fill out the welcome form by providing their personal information, medical history, and any specific concerns or symptoms they may have.
The purpose of the welcome form is to gather important information about the patient's health history and reasons for seeking chiropractic care.
The welcome form typically requires information such as personal details, medical history, current symptoms, and insurance information.
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