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Patient Intake AUTOS OS CHIROPRACTIC 13101 Paul J Doherty Pkwy. #210 Ft. Myers, FL 33913 Patient Title: (check one) Mr. Mrs. Ms. Miss Dr. Name: Prof. Rev. Nickname:Address: City:State:SSN:Zip:Age:Marital
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To fill out an SOS Chiropractic form, follow these steps:
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Start by entering your personal information, such as your name, date of birth, address, and contact details.
03
Provide details about your medical history, including any previous injuries, surgeries, or medical conditions.
04
Indicate the reason for seeking chiropractic treatment and any specific symptoms or areas of concern.
05
If you have any allergies or take medications regularly, make sure to mention them in the form.
06
Describe any current pain or discomfort you are experiencing and rate its intensity on a scale from 1 to 10.
07
Answer any additional questions or sections on the form as required.
08
Review the completed form for accuracy and completeness before submitting it to SOS Chiropractic.

Who needs sos chiropractic?

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SOS Chiropractic is beneficial for individuals who experience various musculoskeletal conditions, including:
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- Back pain
03
- Neck pain
04
- Headaches and migraines
05
- Joint pain or stiffness
06
- Sports injuries
07
- Posture problems
08
- Pregnancy-related pain
09
- Sciatica
10
Whether you are seeking immediate relief from pain or looking for long-term preventive care, SOS Chiropractic can help improve your overall physical well-being.
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SOS chiropractic refers to a type of chiropractic adjustment aimed at treating subluxations in the spine.
Chiropractors who specialize in spinal manipulation are required to file SOS chiropractic.
SOS chiropractic forms can be filled out by providing detailed information about the patient's medical history and current symptoms.
The purpose of SOS chiropractic is to realign the spine and improve overall health and well-being.
Information such as the patient's name, age, medical history, and chief complaints must be reported on SOS chiropractic forms.
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