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Download & Print Form - Coykendall Chiropractic Office 2025

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The document is a Modified Oswestry Low Back Pain Questionnaire designed to assess the impact of low back pain on daily activities. It includes various sections where patients indicate their pain levels and how it affects personal care, lifting, walking, sitting, standing, sleeping, social life, traveling, and employment. Additionally, it contains patient medical information forms, billing policies, privacy practices, and informed consent for diagnostic procedures like EMG/NCS testing.

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2019	4.8 Satisfied (131 Votes)

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Download & Print Form - Coykendall Chiropractic Office 2025

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