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MASSAGE & CHIROPRACTIC INTAKE FORM BARKLEY MASSAGE & CHIROPRACTIC 2930 Newmarket St. Ste 115. Bellingham, WA 98226 P: 3606565131info barkleyhealth. Commodes Date:PATIENT INFORMATION NamePreferred
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Start by visiting the Barkley Massage & Chiropractic website or walk into their clinic.
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If you're a new patient, you may need to fill out a new patient form. You can request this form from the receptionist or download it from their website.
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Provide your personal information including your full name, address, date of birth, and contact details.
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Fill out any medical history questions accurately. This will help the chiropractor or massage therapist understand your health background better.
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If you have any specific concerns or areas of focus for the session, mention them on the form.
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Once you've completed the form, recheck for any errors or missing information.
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Review any terms and conditions or consent statements, and sign the form if required.
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Return the completed form to the receptionist or hand it over to the chiropractor or massage therapist directly.
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Wait for your turn and follow the instructions of the staff to proceed with your appointment.

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- Anyone looking for professional massage or chiropractic services in the area
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Barkley Massage & Chiropractic is a wellness center that offers therapeutic massage and chiropractic services to help clients relieve pain, improve mobility, and enhance overall health.
Individuals or businesses that provide massage therapy or chiropractic services and are required to report their income or health services under applicable regulations.
To fill out the Barkley Massage & Chiropractic form, gather relevant patient and service information, accurately describe the treatments provided, and include any required financial details.
The purpose of Barkley Massage & Chiropractic is to provide professional therapeutic services that promote physical well-being, pain relief, and rehabilitation.
The report must include details such as patient contact information, treatment dates, service descriptions, and payment information.
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