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CHIROPRACTIC & ACUPUNCTURE

 
 

Acupuncture Forms

To place an order or request an estimate simply enter your desired quantity and complete the form below. Your account representative will process the request and contact you as soon as possible.

If you would like to view any file listed, click on the document's name to download a PDF file. You will need to have Adobe Acrobat installed.

Acupuncture Forms

Patient Registration - Intake Forms

Examination Forms

Exercise

Health/Nutrition

Lien/Assignments

Consents

Superbills

* All superbills can be personalized with your name, address, phone, I.D. & license number. * These forms are all 3-part carbonless sets - Original top copy is WHITE - Second part is CANARY - Last part is PINK * These forms are not for use with a pegboard system.

Progress

Insurance

Health Insurance Portability & Accountability Act (HIPAA)

General Office Forms

Patient Education

Release/Referral/Disability

Reports

Work

Most forms can be personalized with name, address, phone, I.D. & License number - 1000 minimum (10 pads).

School

Most forms can be personalized with name, address, phone, I.D. & License number - 1000 minimum (10 pads).

Letterheads/Envelopes

Business/Appointment Cards

Multi-Appointment Card

Billing/Statements/Ledgers/Pegboard

Design-A-Note

Appointment Books

Postcards