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Westley Heights Chiropractic Center Dr. David Suzette BHE, Bed, DC / Dr. Karen MartindaleSliz B.Sc., ACUPUNCTURE NEW PATIENT INFORMATION Name Date Address City, Province Postal Code Home # Cell #
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To fill out the Westney Heights Chiropractic Centre, follow these steps:
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Start by entering your personal information such as your name, address, and contact details.
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Specify the reason for your visit, whether it is for chiropractic treatment or consultation.
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Provide detailed information about your medical history, including any previous injuries or conditions.
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Indicate any specific symptoms or areas of concern that you would like the chiropractor to address.
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Westney Heights Chiropractic Centre is a healthcare facility that specializes in chiropractic care.
The chiropractic centre staff or administrators are required to file the necessary paperwork.
The form can be filled out either manually or electronically, following the guidelines provided by the regulatory body.
The purpose of Westney Heights Chiropractic Centre is to provide quality chiropractic care to patients in need.
Information such as patient demographics, treatment plans, billing codes, and insurance information must be reported on the form.
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