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ON THE GO CAIRO Dr. Tory Brooks, Chiropractic Physician 3250 N. Campbell Ave., Ste.132, Tucson, AZ 85719 520.881.0650Patient Registration and History Questionnaire Name: Age: Date of Birth: Date:
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Form Go Chiro is a tax form used for reporting specific chiropractic services and consultations provided by chiropractic professionals.
Chiropractic practitioners who provide specific services and are subject to reporting requirements must file on Form Go Chiro.
To fill out Form Go Chiro, practitioners need to provide their identification details, specify the services rendered, and report any necessary financial information as requested on the form.
The purpose of Form Go Chiro is to ensure proper documentation and reporting of chiropractic services for tax and regulatory compliance.
The form requires the practitioner's details, types of chiropractic services provided, patient information, and financial data related to the services rendered.
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