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CONFIDENTIAL PATIENT DATA IF YOU NEED ANY ASSISTANCE COMPLETING THIS FORM, PLEASE ASK THE RECEPTIONISTDate: Have you ever been treated by a Chiropractor before?LESSONS# PATIENT INFORMATION: Name:
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To fill out Huynh Chiropractic & Acupuncture forms, follow these steps:
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Start by gathering the necessary information, such as personal details, medical history, and insurance information.
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Visit the Huynh Chiropractic & Acupuncture website or clinic to access the forms.
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Huynh Chiropractic & Acupuncture is a healthcare clinic that specializes in chiropractic care and acupuncture treatments to promote health and alleviate pain.
Individuals seeking treatment or insurance reimbursement for services received at Huynh Chiropractic & Acupuncture may be required to file necessary documentation.
Fill out the required forms provided by the clinic, including personal information, insurance details, and a description of the services to be billed.
The purpose is to provide therapeutic treatments for musculoskeletal issues, enhance wellness, and improve overall health through chiropractic and acupuncture practices.
Information such as patient details, treatment received, diagnosis codes, and billing codes should be reported.
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