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HIPPO Notice of Privacy Practices Riverton Family Chiropractic 1362 S. Fifth Street St. Charles, MO 63301 636.947.7463 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
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Start by obtaining the necessary forms from Rivertowne Family Chiropractic. These forms may be available for download on their website or you can request them in person.
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Fill out the personal information section, which typically includes your full name, address, phone number, and email address.
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Provide your insurance information, if applicable. This may include your insurance provider's name, policy number, and group number.
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Complete the medical history section. This is important as it helps the chiropractor understand your past and current health conditions.
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Answer any additional questions or sections specified on the form. These may vary depending on the specific form provided by Rivertowne Family Chiropractic.
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Double-check all the information you have provided to ensure its accuracy and legibility.
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Sign and date the form to confirm that all the information you have provided is true and accurate.
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Submit the completed form to Rivertowne Family Chiropractic either in person, by mail, or through their online portal, if available.
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If you have any questions or need assistance, don't hesitate to contact Rivertowne Family Chiropractic for guidance.

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In general, anyone looking for non-invasive and drug-free solutions for their health concerns can benefit from Rivertowne Family Chiropractic.
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Rivertowne Family Chiropractic is a chiropractic clinic that provides services to individuals and families.
Individuals or families who have received chiropractic services from Rivertowne Family Chiropractic may be required to file their information.
To fill out Rivertowne Family Chiropractic, individuals must provide their personal information, details of services received, and any relevant medical history.
The purpose of Rivertowne Family Chiropractic is to help individuals and families improve their musculoskeletal health through chiropractic care.
Information such as name, contact details, services received, and medical history must be reported on Rivertowne Family Chiropractic.
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