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NBISAECNew Brunswick Interprofessional Spine
Assessment and Education ClinicPATIENT INTAKE
Patient Information
Name:Medicare#:Date of Birth:
Female Male dd/mm/phone: ()Age:Address:City:Email:Postal
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What is nb-isaec spine clinic?
nb-isaec spine clinic is a specialized clinic that focuses on treating spinal disorders and injuries.
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Medical professionals and healthcare providers who operate the nb-isaec spine clinic are required to file the necessary documentation.
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