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A.K. CHIROPRACTIC CENTER 1276 HUBERMANN ROAD ST. PETERS, MO 63376 (636)9229993 FAX(636)9229994OFFICE AND FINANCIAL POLICY Our office is committed to your health and wellbeing. Because of this commitment,
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Obtain the Eden Chiropractic and Wellness welcome form from the office or website.
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Fill out personal information such as name, address, phone number, and email.
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Provide information about current health concerns or reasons for seeking chiropractic care.
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Sign and date the form to acknowledge the information provided is accurate.
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Submit the completed form to the receptionist or practitioner during your appointment.

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Anyone who is visiting Eden Chiropractic and Wellness for the first time will need to fill out the welcome form.
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Existing patients may also need to fill out the form if there have been any changes to their personal information or health status.
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Eden Chiropractic and Wellnesswelcome is a holistic health center that specializes in chiropractic care, massage therapy, and wellness services.
All individuals or entities who have received treatments or services from Eden Chiropractic and Wellnesswelcome are required to file.
To fill out Eden Chiropractic and Wellnesswelcome, individuals need to provide their personal information, details of the services received, and any payments made.
The purpose of Eden Chiropractic and Wellnesswelcome is to track the treatments and services provided to clients, as well as to ensure accurate billing and records.
The information that must be reported on Eden Chiropractic and Wellnesswelcome includes the client's name, contact information, services received, and any payments made.
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