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LIFELINE
Chiropractic & Applied Kinesiology
Add: 6645 E 22nd St.
Tucson Az, 85710
Phone: (520) 745-8101
Fax : (520) 745-8729
Lifeline Chiropractic offers our patient forms online so you can complete them in the convenience of your own home or office. Download the necessary forms, print them out, and fill in the required information. Fax us your printed and completed forms or bring them with you to your appointment. Fax: (520) 745-8729.
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New Patient Health History Form (105a) - Required. This provides us with your past medical history and current state of your health.
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Functional Rating Index - Required for patients with neck and/or back symptoms. This measures your current level of spinal pain and function.
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