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Chiropractic Patient Authorization to Release Medical Records
Get this Authorization form signed in order to get access to a patient's medical records for purposes of chiropractic treatment.
- The patient's doctor or other medical service provider is directed to release the patient's medical records to the chiropractor so that treatment can begin.
- This is a generic patient authorization form that can be used anywhere.
- You can easily customize the form with your logo, office address and phone number.
- Available in MS Word format.
$2.29
Confidential Patient Information Sheet for Massage Therapy
Use this downloadable template form to gather confidential information from patients of a massage therapy clinic.
- All new patients should fill out the form before beginning therapy.
- Patients provide medical and contact information, as well as specific details of any existing condition for which the patient is receiving massage treatments.
- The form can be easily customized to include your office and practice information, logo, hours, etc.
- This is a reusable business form. Once you purchase it, you can use it as often as you like.
- This Confidential Patient Information Sheet for Massage Therapy form is downloadable, editable and easy to use.
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Referral Form from Chiropractor to Physician
Chiropractors can refer a patient to a doctor with this free Physician Referral Form.
- The Referral Form would be used to refer a chiropractic patient to a new doctor in circumstances where the chiropractor discovers a medical condition that should be treated by a physician.
- The form has sections for pertinent findings and recommendations.
- This form can be filled in on the computer or device, or used as a pre-printed form to be filled in by hand.
- Available in MS Word format.
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Confidential Patient Information Sheet for Massage Therapy
Use this downloadable template form to gather confidential information from patients of a massage therapy clinic.
- All new patients should fill out the form before beginning therapy.
- Patients provide medical and contact information, as well as specific details of any existing condition for which the patient is receiving massage treatments.
- The form can be easily customized to include your office and practice information, logo, hours, etc.
- This is a reusable business form. Once you purchase it, you can use it as often as you like.
- This Confidential Patient Information Sheet for Massage Therapy form is downloadable, editable and easy to use.
$2.29
