Health Care Management Group

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NATURAL

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REHABILATION

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THERAPY

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HEALTH

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OUR SERVICES

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Forms

Vehicle Accident Detail

Welcome to the healthcare management group inc.! In order to serve you better, please take a moment to complete this form, if you require assistance, please call or email the office.

Patients Information ( please complete all of the fields below )

Patient Information

Accident Site

 

Vehicle

Impact

Other Vehicle

Police

Patient Condition

Treatment

Symptoms / Injuries

Mark An X On The Picture Where You Continue To Have Pain, Numbness Or Tingling.

I verify that the above information is correct to the best of my knowledge.

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