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South Care Chiropractic512 Campbell Street, Nanaimo, B.C. V9R 3H1Tel: (250) 7551554 Fax: (250) 7551545Email: southcarechiro@gmail.comPEDIATRIC REGISTRATION AND HISTORY Personal Informational: ___
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Use a pen or computer to enter your personal details such as your name, email address, and phone number.
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Fill out any required fields such as your preferred method of contact or reason for contacting Southcare Chiropractic.
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Who needs contact ussouthcare chiropractic?

01
Anyone who wishes to make an appointment with or inquire about Southcare Chiropractic services.
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Individuals experiencing musculoskeletal pain or discomfort who seek chiropractic treatment.
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Contact Us Southcare Chiropractic is a chiropractic clinic that provides care and treatment for various musculoskeletal issues, focusing on improving patient health and well-being.
Individuals seeking treatment at Southcare Chiropractic may need to file paperwork to initiate care, which can include personal health information and insurer details.
To fill out the contact form for Southcare Chiropractic, provide your name, contact information, reason for visiting, and any relevant health details as requested.
The purpose of contacting Southcare Chiropractic is to schedule appointments, inquire about services, and receive guidance on treatment options.
Required information typically includes personal identification details, health history, any current medical conditions, and insurance information.
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