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PARALLEL CHIROPRACTIC & WELLNESS CENTRE Chiropractic Patient Entrance Form Patient Name: ___ Date: ___ Home Address: ___City: ___ Postal Code: ___ Phone #: ___ Work #: ___ Cell #: ___ Date of Birth:
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Parallel Chiropractic & Wellness is a holistic health practice that focuses on enhancing physical well-being through chiropractic adjustments, wellness assessments, and complementary therapies.
Individuals or entities providing chiropractic services and wellness treatments may be required to file documentation related to Parallel Chiropractic & Wellness, depending on local regulations and healthcare practices.
To fill out the Parallel Chiropractic & Wellness form, individuals must provide accurate information regarding their practice, services offered, and patient data as required by regulatory guidelines.
The purpose of Parallel Chiropractic & Wellness is to promote health and wellness through chiropractic care, offering a comprehensive approach to patient health that integrates various therapeutic methods.
Information that must be reported includes practitioner details, treatment types, patient demographics, and any relevant health outcomes or assessments.
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