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    Confidential Patient Health Record for Chiropractic Treatment

    $7.99

    Chiropractors, have each new patient fill out this Confidential Health Record and Information Sheet prior to receiving chiropractic treatment.

    • The 5-page form includes sections for:
      • personal and medical history,
      • job-related injuries,
      • current health condition, and
      • a patient consent form for chiropractic treatment.
    • This form is fully editable and reusable. Pay for the form once, and it's yours to use as often as you require.
    Download Type: Microsoft Word
    Last Updated: 16-February-2022
    SKU: 2990