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LEMONT ACTIVE CHIRO 15947 W. 127th St., Ste. G, Lemont, IL 60439Name: ___Date:___What are your symptoms? (Select symptoms on line A, B, or C only. Use additional sheets if necessary.) A: Neck Pain
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Start by gathering your personal information, including your name, address, and date of birth.
02
Provide details about your medical history, including any past injuries or health conditions.
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Fill out the section for insurance information, including your provider and policy number.
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Complete the consent forms as required, ensuring you understand the treatment options and associated risks.
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Schedule an initial consultation appointment with a chiropractor at Lemont Active Chiro.

Who needs lemont active chiro?

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Individuals experiencing chronic pain or discomfort, particularly in the back, neck, or joints.
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Lemont Active Chiro refers to a specific chiropractic service or program that focuses on providing active care and treatment options for individuals with spinal or musculoskeletal issues.
Typically, healthcare providers who offer chiropractic services and treatments which fall under the Lemont Active Chiro program are required to file the necessary documentation.
To fill out Lemont Active Chiro documentation, practitioners must include patient details, treatment plans, and any relevant notes or assessments that pertain to the active chiropractic care being provided.
The purpose of Lemont Active Chiro is to enhance patient care through structured chiropractic practices aimed at improving musculoskeletal health and providing better outcomes for individuals in need of chiropractic interventions.
The information that must be reported includes patient demographics, diagnosis, treatment procedures, frequency of treatments, and outcomes or progress notes related to the active chiropractic care provided.
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