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ABOUT THE CHILD
NAME:CHIROPRACTIC EXPERIENCE
WHO REFERRED YOU TO OUR OFFICE?ADDRESS:HAVE YOU SEEN OR HEARD OF OUR OFFICE BECAUSE OF (ALL THAT APPLY):CITY: NEWSPAPERSTATE/ZIP CODE: SIGN YELLOW PAGES
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This condition refers to a specific date or timeframe that is relevant to a certain situation or event.
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The individual or entity involved in the situation or event is required to provide the date or timeframe of when the condition occurred.
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You can fill out the date or timeframe of the condition by providing the specific day, month, and year when it occurred.
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The purpose of specifying when a condition occurred is to provide an accurate timeline of events for record-keeping or decision-making purposes.
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The information that must be reported includes the exact date or timeframe of when the condition occurred.
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