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DILLON CHIROPRACTIC OFFICE 114 JOHN STREET SALINAS, CA 939013321 PHONE: (831) 4491594 FAX (831) 4498157CONSENT TO TREAT REINFORMED CONSENT FOR CHIROPRACTIC CARE By signing below, the patient gives
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01
Obtain a patient intake form from the Dillon Chiropractic Office.
02
Fill out your personal information, including your name, address, phone number, and email address.
03
Provide your medical history, including any previous injuries or surgeries you have had.
04
List any current medications or supplements you are taking.
05
Indicate any specific symptoms or areas of concern that you would like the chiropractor to address.
06
Sign and date the form.
07
Return the completed form to the Dillon Chiropractic Office either in person or by mail.

Who needs dillon chiropractic office?

01
Individuals experiencing back pain, neck pain, or other musculoskeletal conditions may need the services of Dillon Chiropractic Office. Additionally, people seeking alternative or complementary treatments for their health concerns may also benefit from the services provided by a chiropractic office.
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Dillon Chiropractic office is a healthcare facility that specializes in the treatment of musculoskeletal conditions, particularly through adjustments of the spine.
Dillon Chiropractic office may be required to be filed by the healthcare provider or the business owner, depending on the regulations in the specific location.
Dillon Chiropractic office can be filled out by providing all relevant information about the healthcare facility, services offered, staff members, and financial details.
The purpose of Dillon Chiropractic office is to provide holistic healthcare services to individuals seeking relief from musculoskeletal issues.
Information such as patient demographics, treatment procedures, insurance details, revenue, expenses, and any regulatory compliance information must be reported on Dillon Chiropractic office.
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