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PORTLAND CHIROPRACTIC GROUP 2031 E BURNSIDE PORTLAND, OR 972141649ASSIGNEMENT FOR PAYMENT I, (legibly printed name), being the undersigned, authorize and direct my attorney, (printed attorney name)
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To fill out our services at Portland Chiropractic Group, follow these steps:
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Visit our website or contact our clinic to schedule an appointment.
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Our services include chiropractic care, massage therapy, rehabilitation exercises, and wellness programs.
All patients who receive services or treatments from our Portland chiropractic group are required to have their information filed.
To fill out our servicesportland chiropractic group, patients need to provide their personal information, details of services received, and sign consent forms.
The purpose of our servicesportland chiropractic group is to maintain accurate records of patient treatments and ensure continuity of care.
Information required includes patient name, contact details, medical history, treatment plans, and any insurance information.
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