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    • Weight Loss - Transformations
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  • Paperwork

Initial Paperwork for EVERYONE                           Get Adobe Reader

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Initial Health History

Financial Information & Agreement

HIPPA Privacy Practices

Informed Consent – Chiropractic

Medicare forms

Medicare Payment Guidelines form

Condition-specific forms

Metabolic Assessment form (MAF) questionnaire – popular form for chronic, systemic conditions

Fatigue – Adrenal – Thyroid risk (FAT) profile questionnaire

Headache, Neck Pain, TMJD, Toxicity – Risk Profile questionnaire

Arthritis & Osteoporosis Risk Profile questionnaire

Intestinal Dysfunction questionnaire

Carpal Tunnel Syndrome

Temperature graph Fatigue – Adrenal – Thyroid

ADHD / Autism / Learning Disorders forms

ADD-ADHD Type Questionnaire

ADHD-High-Function-ASD-Fees

Developmental Behavior Questionnaire (26-pg-S-Baker)

Accident & Injury forms

Auto Accident Questionnaire

Progress Report (used with Re-evaluation)

Progress Report – Patient fills this out before the re-exam.