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Get and Sign WYOMING WORKERS COMPENSATION DIVISION Chiropractic Wyomingworkforce Form
Flexion Extension Right Lat Flex Left Lat Flex Right Rotation Left Rotation 6 Muscle Strength Test 7 P. D. Q. Scores 8 Assessment 9 Plan 10 Additional Info. / Complicating Factors Doctor of Chiropractic Name Signature. WYOMING WORKERS COMPENSATION DIVISION Chiropractic Patient Exam/Re-exam Form Use if patient is under active care Return to Workers Compensation Division 1510 East Pershing Boulevard South Wing Cheyenne Wyoming 82002 http //www....
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