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Mckinleychiro. com Did you have an Epidural Was it a difficult birth What was the baby s APGAR Score at 5 minutes 3. Consent for Chiropractic Treatment of a Minor Child I hereby authorize Dr. Heath McKinley and whomever he may designate as his assistants to administer treatment as he so deems necessary to my child. As a baby/toddler birth to 4 years did any of the following occur Fall from a change table Tumble down stairs Play in a Jolly Jumper Involved in car accident Fall off playground...

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To fill out the Heath McKinley form, follow these steps: 1. Obtain a copy of the Heath McKinley form from the authorized source. 2. Begin by providing your personal information such as name, date of birth, and contact details in the designated fields. 3. Fill out the required medical information accurately, including any pre-existing conditions or allergies. 4. Indicate any medications currently being taken in the specified section. 5. If applicable, provide details about your insurance coverage. 6. Carefully review the completed form for any errors or omissions. 7. Sign and date the form to certify its accuracy. 8. Submit the filled-out Heath McKinley form to the relevant party or organization.

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