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Soundcare Chiropractic  Form

Soundcare Chiropractic Form

Use a soundcare chiropractic template to make your document workflow more streamlined.

Gender Male/Fe male Home Phone - Cell Phone - Mari tal Status M S D or W Address City State Zi p Social Security - - Driver s License State E-mail Address Spouses Name Who referre d you to our office Employer Name Occupation/Job Title Business Address Business Phone Can you be Contac te d at Work Yes/ No While YOU are responsible for your bill and our policy is for payment to be made at the time of service will we be helping you to bill any of the following Workers Comp Auto Insurance Me dic...
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Hello Mrs. Brown how are you icon man I'm one of the covering nurses today so what brings him in today Mrs. Brown 25:25 okay and how long is this or talking going on three days any headache, and he coughed and he fever chills anything else, but you've no it is no no okay, and she said three days anything makes it worse or better okay so my select some lozenges likely suck on okay great, and so I want to check it by those signs and that do quick exam okay, and we'll take it from there I'm just going to go wash my hands okay I'm Mrs. Bones you have any allergies everywhere love I'm just what reaction do you get from a rash and how about and any past surgical in surgeries not any medical issues okay so check your temperature Ohio temperatures normal, and you teach me over-the-counter medication just multivitamin multi finds okay good pressure and your clothes 120 or 75 I'm just going to check your palates as well okay pulse is good alright, so I'm just going to have the picture okay look

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