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DR. CRYSTAL RUSSIAN, D.SUPERIOR CHIROPRACTIC 4570 Red River Rd., Thunder Bay, ON, P7B 1H3 pH: (807)3456700 Fax: (807)3456717Nutrition Consultation Intake Form Health ConcernsName: ___ Phone: ___1.
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The Superior Chiropractic Clinic DR is a specific form or documentation used by chiropractic clinics to report patient information, treatments, and claims for insurance purposes.
Chiropractors and chiropractic clinics that provide treatments and bill insurance companies for their services are required to file the Superior Chiropractic Clinic DR.
To fill out the Superior Chiropractic Clinic DR, practitioners must include patient information, treatment details, diagnosis codes, and any related insurance information in the designated fields provided in the form.
The purpose of the Superior Chiropractic Clinic DR is to facilitate accurate billing, claims processing, and reporting of chiropractic services to insurance providers and regulatory agencies.
The information that must be reported includes patient demographics, treatment dates, procedure codes, diagnosis codes, provider information, and insurance details.
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