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PATIENT NOTES
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Cervical Region
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Pain Scale
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C Asymmetry/Misalignments
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Cervical ROM
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Taut/Tender Fibers
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Thoracic Region
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Pain Scale
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T Asymmetry/Misalignments
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Thoracic ROM
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Taut/Tender Fibers
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Lumbar Region
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Pain Scale
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L Asymmetry/Misalignments
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Lumbar ROM
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Taut/Tender Fibers
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Sacral/Pelvic Listings
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Wellness Adjustment
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ALL SPINAL LISTINGS
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Muscle Pain/Tenderness/Spasms
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Adjustment Provided (PLAN)
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Extraspinal Adjustments 98943
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Range of motion
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Posture Analysis
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Derifield Leg Check
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Subluxations special comments
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Techniques
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Spinal Palp WNL
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CONTRAINDICATION TO ADJUSTMENT
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NDI
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LB Oswestry
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