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Gray Chiropractic Center Julie Gray, D. C.INSURANCE VERIFICATIONDate ___Patient Name: ___ D.O. B.___Insurance Company: ___ Phone Number:___Name of Representative:___Policy Effective Date:___ Policy
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Visit the Gray Chiropractic website to access the service form.
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Fill in your personal information, including name, contact details, and address.
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Provide details about your medical history and current symptoms.
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Specify the type of service you are interested in receiving from Gray Chiropractic.
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Submit the completed form to schedule an appointment with Gray Chiropractic.

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Services - Gray Chiropractic is a chiropractic clinic that offers a range of services to address various health concerns.
Patients who have received services from Gray Chiropractic are required to file for reimbursement through their insurance provider.
To fill out services provided by Gray Chiropractic, patients must submit a claim form along with any required documentation to their insurance company.
The purpose of services provided by Gray Chiropractic is to help patients improve their overall health and well-being through chiropractic care.
Information that must be reported on services from Gray Chiropractic includes the date of service, type of service provided, and any associated costs.
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