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SPINAL DECOMPRESSION THERAPY APPLICATION (Please Print)As you read through and fill out these questions, please understand that this is an application to The Diamond Disc Institute. This is NOT a
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Start by downloading the spinal decompression therapy application form from the official website.
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Read the instructions and guidelines provided with the form carefully.
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Fill in your personal information accurately, including your full name, address, contact number, and email address.
04
Provide details about your medical history, including any previous spinal injuries or surgeries.
05
Indicate the reason for seeking spinal decompression therapy and any specific areas of concern.
06
Make sure to disclose any current medication or treatments you are undergoing.
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Submit the completed spinal decompression therapy application form either in person or by mailing it to the designated address.

Who needs spinal decompression formrapy application?

01
Spinal decompression therapy application is typically needed by individuals who are experiencing chronic back or neck pain.
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It is suitable for those who have not found relief from traditional treatment methods or who want to explore non-invasive alternatives.
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People with spinal conditions like herniated discs, degenerative disc disease, sciatica, or spinal stenosis may benefit from spinal decompression therapy.
04
It is recommended to consult with a healthcare professional specializing in spinal care to determine if you are an eligible candidate for this form of therapy.
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Spinal decompression therapy is a non-surgical treatment option for relieving back and neck pain. It involves gently stretching the spine to relieve pressure and improve alignment.
Patients who are seeking relief from back or neck pain may be required to file a spinal decompression therapy application.
The application typically requires personal information, medical history, symptoms, and reasons for seeking spinal decompression therapy.
The purpose of the application is to assess the patient's eligibility for spinal decompression therapy and to create a customized treatment plan.
Personal information, medical history, symptoms, and reasons for seeking spinal decompression therapy must be reported on the application.
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