Most Used Forms: Coordination of Care​ and Physical Exam FRONT and BACK

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Doctor's Notes

• All-in-one Doctor's Note

  • Authorization for Absence

  • Chiro Care Certificate

  • Return to Work/School

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Patient Releases and Forms

• Assignment of Benefits

• Authorization to Release Information

• Minor Consent

• Med Pay  

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Internal Forms and Tools

• Insurance Claim Investigation Tool

• Insurance Verification

• Report of Finance for the Office

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Patient Handouts All NEW!

• Helpful Hints and Stretches PDF customize this version: Helpful Hints and Stretches Word Doc 

• Neck Stretches PDF customize to this version: Neck Stretches Word Doc

• Mid-Back Stretches PDF customize this version: Mid-Back Stretches Word Doc

• Low Back Stretches PDF customize this version: Low Back Stretches Word Doc

• Pregnancy Stretches PDF customize this version: Pregnancy Stretches Word Doc

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Retired Patient Handouts

• Helpful Hints

• Back Exercises

• Home Exercises: Spine

• Home Exercises: Extremities

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Patient Intake Forms

• Introduction Patient Case History

• History of Present Illness

• Past Family and Social History

• Review of Systems

• Informed Consent

• Email/Text Authorization

• Terms of Acceptance 

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• Spanish Intake

• Accident Injury Questionnaire

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The Archives: Old forms and retired versions.

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