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King George Family Chiropractic 9305 Kings Highway King George, VA 22485Massage Client Intake Form PLEASE PRINT LEGIBLY NameEmailAddress City/State/Zip Phone: HomeWorkOccupationCellBirthday//Referred
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Start by gathering all the necessary personal information such as your name, address, and contact details.
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Submit the filled-out form to the receptionist or healthcare professional at King George Family Chiropractic.

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King George Family Chiropractic is a healthcare facility that specializes in providing chiropractic services to patients, focusing on spinal adjustments and holistic wellness.
Individuals seeking chiropractic services or practices that provide chiropractic services may be required to file relevant documentation for insurance purposes or regulatory compliance.
To fill out a King George Family Chiropractic form, patients typically need to provide personal information, medical history, and insurance details as instructed on the form.
The purpose of King George Family Chiropractic is to promote overall health and wellness through chiropractic care, alleviate pain, and improve mobility.
Information that must be reported includes patient demographics, treatment plans, progress notes, and any relevant health insurance details.
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