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WORKERS COMPENSATION INTAKE FORM Health wise Chiropractic and Wellness Center, LLC 315 e Main st Po box 54 Porterville WI 54944 9204501655CONFIDENTIAL PATIENT Informational: Today\'s Date: ___/___/___
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01
Schedule an appointment with Healthwise Chiropractic & Wellness.
02
Upon arrival, you will be asked to fill out a health history form.
03
Make sure to accurately provide information about your medical history, current symptoms, and any previous treatments.
04
Be honest and detailed when describing your current health concerns to the chiropractor.
05
Follow any additional instructions or recommendations given by the chiropractor for optimal treatment.

Who needs healthwise chiropractic ampamp wellness?

01
Individuals suffering from musculoskeletal issues such as back pain, neck pain, joint pain, or headaches.
02
People looking for non-invasive and holistic approaches to managing their pain and improving their overall well-being.
03
Anyone interested in maintaining their spine health and improving their physical function.
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Healthwise Chiropractic & Wellness is a chiropractic clinic that offers services to promote health and well-being through the use of spinal adjustments and other natural treatments.
Healthwise Chiropractic & Wellness is required to file by healthcare providers who offer chiropractic services.
Healthwise Chiropractic & Wellness must be filled out with accurate and up-to-date information regarding the services provided, patients treated, and payments received.
The purpose of Healthwise Chiropractic & Wellness is to track the services provided and payments received for chiropractic care.
Information such as patient demographics, treatment provided, and payment received must be reported on Healthwise Chiropractic & Wellness.
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