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!! Ne E FR KE o a SE ta September / October 2014 MOUNT STREET CHIROPRACTIC Center 124 Mount Street Heidelberg, Melbourne, VIC 3084 P: (03) 94553000 F: (03) 94574400 E: spinalcare1×optusnet.com.adulator
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Fill out the patient's personal information including name, address, and contact details.
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Provide details about the patient's medical history, including any previous chiropractic treatments or surgeries.
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Record any current symptoms or pain experienced by the patient, specifying the affected areas.
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Mention any specific concerns or goals the patient has for seeking chiropractic care.
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Include information about any allergies or medications the patient is currently taking.
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Note down the patient's insurance information, if applicable.
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Obtain the patient's consent for the treatment and make them aware of any potential risks or side effects.
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Review the completed form with the patient to confirm accuracy before proceeding with the treatment.

Who needs chiropractic centre?

01
Individuals experiencing chronic or acute back pain.
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People interested in overall wellness and maintaining spinal health.
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