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Chiropractic Office Patient Consent to Release Information re Injury

Chiropractors, are you looking for ready-to-use forms for your office? Download this template Patient Consent to Release Information form.

The Consent form must be signed by a patient and given to a doctor or a medical facility which has treated the patient for injuries sustained in an accident or other incident. The patient consents to the release of medical information to a chiropractor, for treatment and therapy purposes.

This Chiropractic Office Patient Consent to Release Information form is available in MS Word format.

Download: Chiropractic Office Patient Consent to Release Information re Injury

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