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Financial Assistance Scale (1-26-2016)
Table of eligibility for financial assistance effective February 1, 2016.

Headache Disability Questionaire (10-31-2011)
Headache Disability Questionaire (for Chiropractic)

Health Information Release - Clinic (12-31-2014)
Health Information Release Form to obtain medical records

Health Information Release - Hospital (11-11-2010)
Health Information Release form to obtain medical records from hospital

HIPAA Privacy (9-1-2015)
HIPAA Privacy

HIPAA Privacy Notice_Spanish (9-1-2015)
HIPAA Privacy Notice_Spanish

IHSA makes adjustments (8-20-2012)
State rules provide foundation for growth in athletes safety June 9, 2012 Sauk Valley Weekend

Loan Application (11-19-2010)

Lower Back Disability Questionaire (10-31-2011)
Lower Back Disability Questionaire (for Chiropractic)


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