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Bayou Tech Chiropractic 804 S. Main St. Break Bridge, LA 70517 337.453.4366 Dr. Justin Proclaim, D.C. stmartinparishchiro gmail.com www.DrJustinTrosclair.com INFORMED CONSENT The primary treatment
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Bayou Teche Chiropractic 804 is a form used by chiropractic clinics, specifically for reporting purposes related to patient services and insurance claims.
Chiropractors and chiropractic clinics that provide services and wish to claim insurance reimbursement are required to file Bayou Teche Chiropractic 804.
To fill out Bayou Teche Chiropractic 804, gather patient details, services rendered, and billing information, then complete the form following the instructions provided, ensuring accuracy in all entries.
The purpose of Bayou Teche Chiropractic 804 is to document chiropractic services provided for billing and insurance reimbursement, as well as to maintain accurate patient records.
Information that must be reported on Bayou Teche Chiropractic 804 includes patient identification, treatment dates, types of services provided, diagnosis codes, and billing amounts.
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