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WELCOME office: 2153616130 Fax: 2153617860 www.chirogal.comPORTOLESE FAMILY CHIROPRACTICPatient InformationInsuranceDate: ___ Pt#___ Doctor:___ Patient: ___ Address: ___ City: ___ State: ___ Zip:

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Individuals seeking chiropractic care for issues such as back pain, neck pain, headaches, sciatica, and overall wellness.

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What is portolese family chiropractic?

Portolese Family Chiropractic is a chiropractic clinic that provides services to individuals and families seeking chiropractic care.

Who is required to file portolese family chiropractic?

Portolese Family Chiropractic clinic staff or authorized representatives are required to file the necessary paperwork for the clinic.

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Portolese Family Chiropractic paperwork can be filled out by providing the required information about the clinic, services offered, and any other relevant details.

What is the purpose of portolese family chiropractic?

The purpose of Portolese Family Chiropractic is to provide chiropractic care to individuals and families to improve their health and well-being.

What information must be reported on portolese family chiropractic?

Information such as patient records, treatment plans, billing information, and any relevant documentation must be reported on Portolese Family Chiropractic paperwork.

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