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UHC
Paperwork
Below you will find our Neck and Low Back Index paperwork for UHC .
Please fill out the following as thorough as possible. The more information you give, the better we can serve YOU! Please call or text 402-372-0166 with any issues.
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Please click on the following index you were instructed to fill out (unless that it both then proceed from top to bottom. In this case you will be hitting submit twice as they are two separate forms)
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Neck Index
Neck index
STOP.
If you have not hit the yellow submit button you have scrolled too far outside of the paperwork text box. Please scroll up and keep your mouse towards the center of the screen
Low Back Index
Low back index
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