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Houston Spine Wellness, PC 2811 Airline Drive, Houston, Texas 77009 Phone: 7139071731 * chiropractorinheights.com * Fax: 7135831413New Patient Health History Form Please PRINT ClearlyYOUR INFORMATION
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To fill out Houston Spine Wellness PC, follow these steps:
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Start by providing your personal information such as your name, address, phone number, and email.
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Next, fill out the medical history section by answering questions about your past and current medical conditions, medications, and surgeries.
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Provide details about your insurance coverage and any relevant policy numbers or information.
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If you have been referred by another healthcare provider, include their name and contact information.
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Finally, review the completed form for accuracy and sign and date it.
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Make sure to bring the filled-out form with you when visiting Houston Spine Wellness PC.

Who needs houston spine wellness pc?

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Houston Spine Wellness PC is for individuals who are seeking specialized care and treatment for spine-related issues.
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This includes people who have chronic back or neck pain, herniated discs, spinal stenosis, sciatica, scoliosis, or other spinal conditions.
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Anyone experiencing symptoms such as numbness, tingling, weakness, or loss of sensation in the extremities may also benefit from Houston Spine Wellness PC.
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It is recommended for those who have tried conservative treatment options with limited success and are looking for a comprehensive approach to spine health.
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Houston Spine Wellness PC is a healthcare provider specializing in the treatment and care of back and spinal issues.
The healthcare provider, Houston Spine Wellness PC, is required to file.
You can fill out Houston Spine Wellness PC by providing the necessary information about the services provided, patient care, and financial details.
The purpose of Houston Spine Wellness PC is to document the services rendered, ensure proper billing, and maintain accurate patient records.
Information such as patient demographics, treatment provided, dates of service, and billing details must be reported on Houston Spine Wellness PC.
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