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Chiropractic Adjustment
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|
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Pain of P.A.R.T
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Asymmetry of P.A.R.T
• • •
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ROM of P.A.R.T
• • •
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Tissue Tone of P.A.R.T
• • •
|
|
Findings Free Form
|
|
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Manipulation Technique
• • •
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Improvement Post Adjustment
|
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Adjustment Treatment Free Form
|
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DRX
|
|
|
Today Patient feels
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Free Form on how patient is doing.
|
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Treated Segments
• • •
|
Weight
|
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Laser Therapy
|
|
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Area Treated
• • •
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Nerve Roots if Applied
• • •
|
|
Time
|
Additional information
|
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Ultrasound Therapy
|
|
|
Area Treated
• • •
|
Time
|
|
EMS Therapy
|
|
|
Area Treated
• • •
|
Time
|
|
Traction Therapy
|
|
|
Time
|
|
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Spineforce
|
|
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Push Weight
|
Pull Weight
|
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Difficulty Level
|
Time
|
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Push Right %
|
Push Left %
|
|
Pull Right %
|
Pull Left %
|
|
Mechanical Massage
|
|
|
Area Treated
• • •
|
Time
|
|
Strapping
|
|
|
Area Treated
• • •
|
Reason for Strapping
• • •
|
|
Nutrition
|
|
|
Immune Stress
• • •
|
Food Alergy Stress
• • •
|
|
Scar Stress
• • •
|
Heavy Metal Stress
• • •
|
|
Digestion Stress
• • •
|
Allergy Stress
• • •
|
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Supplement 1
|
Supplement 1 Instructions
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Other: Evaluation
|
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Heat Pack
|
Ice Pack
|
