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Whom may we thank for referring you to this office ___PREGNANCY APPLICATION FOR CARE AT NEW JOURNEY CHIROPRACTIC Todays Date: ___Patient Information Name: ___Birth Date: _________ Age: ___ Female
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Fill out personal information such as name, date of birth, address, and contact information.
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Individuals who have suffered from a recent injury and require rehabilitation.
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Individuals seeking relief from pain, increased mobility, or improved functional abilities.
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Physical formrapy refers to a structured method of documenting and reporting physical health and wellness metrics.
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Information reported should include personal health metrics, treatment history, fitness levels, and any relevant medical conditions.
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