All Natural Chiropractic
Dr. Mark Jacobs DC
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New Patient Forms

Application for treatment
File Size: 28 kb
File Type: doc
Download File

patient_history.docx
File Size: 16 kb
File Type: docx
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hipaa_sept_23_2013.pdf
File Size: 1552 kb
File Type: pdf
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acknowledgement_of_privacy_practices_-2017.docx
File Size: 18 kb
File Type: docx
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helpful_healing_tips.doc
File Size: 24 kb
File Type: doc
Download File

What to Bring

*It is always a good idea to wear loose-fitting, clothes without zippers and metal for your first visit just in case you are x-rayed.

*We will need your insurance information, a copy of your drivers license or ID. If you had an accident we will need your accident forms from the police or your employer.


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