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PATIENT INTRODUCTION FORM Wells Chiropractic Center 314 Alliance Rd., Burlington, NC 27215 3362268450 No. Date Name (Mr., Mrs., Miss, Ms.) Home Address Phone No. City State Zip Driver License No.
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01
Contact Wells Chiropractic & Acupuncture to schedule an appointment.
02
Arrive at the appointment on time and bring any necessary medical documents such as insurance information.
03
Fill out the patient intake form provided by Wells Chiropractic & Acupuncture. Make sure to provide accurate and complete information.
04
Answer any additional questions or provide any requested information during the consultation.
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Follow the instructions given by the chiropractor or acupuncturist regarding treatment procedures and recommendations.
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Attend scheduled follow-up appointments as advised by the healthcare provider to monitor progress and make necessary adjustments to the treatment plan.

Who needs wells chiropractic ampamp acupuncture?

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Anyone seeking chiropractic or acupuncture treatment may benefit from Wells Chiropractic & Acupuncture. This includes individuals experiencing musculoskeletal pain, sports injuries, headaches, postural issues, stress-related ailments, or those looking for alternative medicine options.
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Wells Chiropractic and Acupuncture is a healthcare practice that combines chiropractic adjustments and acupuncture treatments to alleviate pain, promote healing, and enhance overall wellness.
Typically, healthcare providers who offer chiropractic and acupuncture services are required to file under Wells Chiropractic and Acupuncture for insurance or regulatory purposes.
Filling out Wells Chiropractic and Acupuncture forms usually involves providing patient information, treatment details, and compliance with any specific regulatory requirements set by the governing body applicable to the practice.
The purpose of Wells Chiropractic and Acupuncture is to provide patients with a holistic approach to health that includes pain management, rehabilitation, and improved physical function through chiropractic care and acupuncture.
Information that must be reported typically includes patient demographics, diagnosis codes, treatment codes, dates of service, and any other relevant medical history necessary for billing and insurance.
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