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BRINE GAR CHIROPRACTIC CENTER; DR. KENNETH BRINE GAR DC PATIENTCONSENTFor use and/or disclosure of protected health information to carry out treatment, payment, and healthcare options. , hereby states
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Begin by gathering all necessary personal information such as your full name, date of birth, address, and contact details.
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Familiarize yourself with the forms provided by Brinegar Chiropractic & Massage. These forms may include an intake form, health history form, and consent form.
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Start by filling out the intake form, which typically requires basic information about your reason for seeking chiropractic & massage services.
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Once you have filled out all the necessary forms, bring them with you to your appointment at Brinegar Chiropractic & Massage. You may be required to arrive a few minutes early to allow for proper processing.
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Brinegar chiropractic and massage is a healthcare service that combines chiropractic adjustments and therapeutic massage to improve physical well-being and alleviate pain.
Individuals receiving treatment at Brinegar Chiropractic and Massage services are typically required to file relevant documents with their insurance providers or health officials for reimbursement purposes.
To fill out forms for Brinegar Chiropractic and Massage, gather all necessary personal and medical information, detail the treatment received, and provide any required insurance information.
The purpose of Brinegar Chiropractic and Massage is to relieve pain, enhance mobility, and promote overall health and wellness through manual therapy techniques.
Information that must be reported includes patient personal details, treatment dates, services provided, diagnosis codes, and any pertinent health history.
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