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GOFFSTOWN CHIROPRACTIC CARE, LLC 17A Taro Drive, Suite 101 Goffstown, NH 03045 Telephone: (603) 3841680 Fax: (603) 3841679 www.goffstownchirocare.comINFORMED CONSENT FOR CHIROPRACTIC ADJUSTMENTS AND
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How to fill out informed consent to chiropractic

01
Step 1: Begin by thoroughly reading the informed consent form provided by the chiropractor.
02
Step 2: Make sure to understand all the terms and conditions mentioned in the form.
03
Step 3: Fill in your personal details accurately, including your name, address, phone number, and email.
04
Step 4: Provide any relevant medical history that may be required, such as previous injuries, surgeries, or conditions.
05
Step 5: If you have any current medications or allergies, mention them in the appropriate section.
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Step 6: Understand the risks and potential benefits associated with chiropractic treatment, as mentioned in the form.
07
Step 7: If you have any questions or concerns, seek clarification from the chiropractor before signing the consent form.
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Step 8: Once you are satisfied and have understood everything, sign and date the informed consent form.
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Step 9: Keep a copy of the completed form for your records.
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Step 10: Submit the signed consent form to the chiropractor's office.

Who needs informed consent to chiropractic?

01
Anyone seeking chiropractic treatment needs to provide informed consent.
02
It is especially important for individuals who have not had chiropractic treatment before or who are undergoing a new or experimental procedure.
03
Minors who are seeking chiropractic care may require parental or guardian consent.
04
People with underlying medical conditions should consult with their healthcare provider and provide informed consent accordingly.
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Informed consent to chiropractic is a process where a patient is provided with information about their chiropractic treatment, including risks and benefits, and gives their voluntary permission to proceed.
Any individual who is seeking chiropractic treatment is required to file informed consent to chiropractic.
To fill out informed consent to chiropractic, the patient must read and understand the information provided by the chiropractor, ask any questions they may have, and then sign the consent form.
The purpose of informed consent to chiropractic is to ensure that the patient is aware of the potential risks and benefits of their chiropractic treatment and can make an informed decision about their care.
Informed consent to chiropractic must include information about the patient's diagnosis, proposed treatment plan, potential risks and benefits, alternative treatment options, and the patient's right to refuse treatment.
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