Qualls Holistic Chiropractic Forms
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Save time before your first, or next, appointment by completing the necessary forms from home and bringing them with you! Use the links below to access the appropriate forms for your situation. You may type in your information and then print the form or print and then complete by hand. Please note: None of the information typed in these forms is transmitted over the Internet or stored anywhere. If you leave the form, the information is cleared and lost. All forms will open in a new browser window.
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New Patient forms
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New Patients: Please complete and print all of the New Patient Forms as well as the set of Outcome Based Assessment Forms that relates to your condition.
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Outcome Based Assessment forms
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Dr. Qualls uses Assessement forms to document your need for care, justify your continued care, and measure the effectiveness of your care. Please complete the forms related to your condition before your first visit and regularly throughout your treatment. Completing these forms in the comfort of your home often results in a more accurate assessment on your condition.
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