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Mark A Swickard, DC DBret Lickteig, DCMark S Balderston, DCPATIENT INFORMATIONName ___ Date ___ AddressCity___ State___ Zip Code ___Phone (H) ___ (W) ___ (C) ___ ___ I authorize Swickard Chiropractic/Curis
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Swickard Chiropractic Clinic chiropractor refers to the licensed chiropractic practitioners associated with the Swickard Chiropractic Clinic, who provide spinal manipulation and other treatments to improve musculoskeletal health.
Individuals seeking chiropractic care or services from the Swickard Chiropractic Clinic would typically be required to file for relevant health insurance claims or documentation regarding their care.
To fill out the necessary forms related to Swickard Chiropractic Clinic chiropractor services, patients should provide personal information, details about their insurance coverage, and descriptions of their symptoms or treatment received.
The purpose of Swickard Chiropractic Clinic chiropractor services is to diagnose and treat musculoskeletal disorders, particularly those related to the spine, and to promote overall health and wellness.
Information that must be reported includes patient identification, treatment date, type of services provided, chiropractor's details, and any diagnosis codes applicable.
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