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INFORMED CONSENT TO CHIROPRACTIC CARE Catania Chiropractic PC Dr. Adrien Catania Practice a/Chiropractic P.O. Box 661, 18 West Main st. Mooresville, NY 13408 Telephone: (315) 6847866 Fax: (315) 6847899Patient
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To fill out the Catania Chiropractic PC form, follow these steps:
02
Start by entering your personal information, such as your full name, address, and contact details.
03
Indicate your gender, date of birth, and social security number.
04
Provide your insurance information, including the details of your primary and secondary insurance companies.
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Next, specify the reason for your visit and any specific complaints or symptoms you are experiencing.
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Include a detailed medical history, including any past injuries, surgeries, or conditions related to your chiropractic care.
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Answer any additional questions provided on the form, such as allergies or medications you are currently taking.
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If applicable, provide information about any previous chiropractic treatments or care you have received.
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Review the form to ensure all the information provided is accurate and complete.
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Sign and date the form to confirm your consent and understanding of the provided information.
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Submit the filled-out form to the Catania Chiropractic PC office either in person or through the preferred method of communication.

Who needs catania chiropractic pc?

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Catania Chiropractic PC can be beneficial for individuals who experience musculoskeletal issues, including but not limited to:
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- Back and neck pain
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- Rehabilitation after accidents or injuries
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Anyone seeking alternative non-surgical treatments for various health conditions can benefit from the services provided by Catania Chiropractic PC.
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Catania Chiropractic PC is a chiropractic practice owned by Dr. John Catania.
The owner of Catania Chiropractic PC, Dr. John Catania, is required to file.
To fill out Catania Chiropractic PC, Dr. John Catania must report all relevant financial and operational information of the practice.
The purpose of Catania Chiropractic PC is to provide chiropractic services to patients in the community.
Information such as revenue, expenses, patient visits, and any changes in services must be reported on Catania Chiropractic PC.
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