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CHIROPRACTIC INTAKE FORM
Welcome to Windsor Wellness!
Before your initial visit, please complete this new patient form to ensure we can provide you with the best care.
How did you hear about us?
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How to fill out before your initial visit

How to fill out before your initial visit
01
Make sure to gather all necessary documents such as identification, insurance cards, medical history, and any referral paperwork.
02
Research the healthcare provider or facility you will be visiting to familiarize yourself with their policies, procedures, and any necessary forms.
03
Arrive early to allow time for check-in and any additional paperwork that may be needed.
04
Provide accurate and complete information on all forms, including personal details, medical history, current medications, and any known allergies.
05
Ask questions if you are uncertain about any of the forms or information required.
06
Be prepared to discuss your reasons for seeking healthcare, symptoms you may be experiencing, and any concerns or goals you have.
07
Follow any specific instructions given by the healthcare provider or staff regarding preparation for the visit, such as fasting or medication changes.
08
Take note of any follow-up appointments or tests that may be scheduled during the initial visit.
09
Keep a copy of all completed forms and any instructions provided for future reference.
Who needs before your initial visit?
01
Anyone seeking medical care for the first time at a particular healthcare provider or facility.
02
Individuals who have recently moved and need to establish care with a new healthcare provider.
03
Patients who have been referred by another healthcare professional for specialized care or evaluation.
04
People who have experienced a change in health status or symptoms and require medical attention.
05
Individuals who have not received medical care for an extended period and wish to address any health concerns.
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What is before your initial visit?
Before your initial visit, you need to fill out a pre-arrival form.
Who is required to file before your initial visit?
All visitors are required to file the pre-arrival form before their initial visit.
How to fill out before your initial visit?
You can fill out the pre-arrival form online through the website or in person at the office.
What is the purpose of before your initial visit?
The purpose of the pre-arrival form is to gather necessary information about the visitor before their initial visit for security and planning purposes.
What information must be reported on before your initial visit?
The pre-arrival form requires information such as name, date of birth, nationality, purpose of visit, and contact information.
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