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690 N Main Street Mt Angel, OR 97362 Phone: 5038459373 Mtangelchiropractic. Compartment Intake Formation InformationFirst Nameless Name Sex:MaleFemaleBirthday AddressEmailEmergency ContactEmployment
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How to fill out burtis chiropractic center intake

01
Start by obtaining the intake form from Burtis Chiropractic Center.
02
Carefully read through the form to understand the information required.
03
Begin filling out the form by providing personal details such as name, address, and contact information.
04
Next, provide relevant medical history including any previous injuries, surgeries, or existing conditions.
05
Detail your current symptoms or reasons for seeking chiropractic care.
06
Answer any specific questions related to chiropractic treatment or your health in general.
07
If you are unsure about any question, feel free to ask the Burtis Chiropractic Center staff for clarification.
08
Complete the form by signing and dating it.
09
Return the filled-out intake form to Burtis Chiropractic Center as instructed.

Who needs burtis chiropractic center intake?

01
Anyone seeking chiropractic care from Burtis Chiropractic Center needs to fill out their intake form. This form helps the chiropractors understand your medical history, current symptoms, and any previous injuries or surgeries. It is important for new patients as well as existing patients who have undergone changes in their health status to complete the intake form.
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Burtis Chiropractic Center intake refers to the process of gathering patient information, medical history, and insurance details before the first appointment.
All new patients at Burtis Chiropractic Center are required to fill out the intake form.
Patients can fill out the intake form either online through the clinic's website or in person at the front desk.
The purpose of the intake form is to gather important information about the patient's health history, current concerns, and insurance coverage to help the chiropractor provide personalized care.
Patients must report their personal details, medical history, current symptoms, insurance information, and any previous treatments they have received.
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