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WINFIELD CHIROPRACTIC RELIEF & WELLNESSPatient Information & Forms 1913 E. 19th Ave Winfield, KS 67156 Phone# 6202211990 Fax# 6202214523 Website: www.winfieldchiropractic.com Email: winfieldchipractic
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Enter your personal information, such as your name, contact details, and address, as requested in the form.
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Provide information about your medical history, including any previous chiropractic treatments, medications, or surgeries.
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Winfield Chiropractic Relief is a form of treatment aimed at alleviating pain and discomfort associated with musculoskeletal issues, primarily focusing on the spine.
Individuals seeking chiropractic treatment or insurance reimbursement for chiropractic services typically need to file the Winfield Chiropractic Relief form.
To fill out the Winfield Chiropractic Relief form, provide personal information, details of the chiropractic services received, and submit any required documentation from the healthcare provider.
The purpose of Winfield Chiropractic Relief is to document the services provided by chiropractors for insurance claims and to ensure patients receive appropriate reimbursements for their treatment.
The report must include the patient's information, chiropractor's details, treatment dates, types of services provided, and any relevant diagnosis codes.
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