div class=trans-pagebutton class=gotoPage data-page=1Page 1button div class=trans-imageimg data-url=documentaxelson-chiropractic-2020-5-14-chiropractic-8-patient-info-welcome-sheet-insurancehtmlpage=1 data-page=1 class=trans-thumb lazyload alt=Page 1: Axelson Chiropractic · 2020 5 14 · CHIROPRACTIC 8 PATIENT INFO WELCOME SHEET INSURANCE INFO Primary Ins Co Name of Insured Insureds Relationship to Patient: DSelf 2 Spouse loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader036fdocumentsinreader036viewer20220711155ff283a6e34626033f5e6e4ehtml5thumbnails1jpg width=140 height=200 divdivdiv class=trans-pagebutton class=gotoPage data-page=2Page 2button div class=trans-imageimg data-url=documentaxelson-chiropractic-2020-5-14-chiropractic-8-patient-info-welcome-sheet-insurancehtmlpage=2 data-page=2 class=trans-thumb lazyload alt=Page 2: Axelson Chiropractic · 2020 5 14 · CHIROPRACTIC 8 PATIENT INFO WELCOME SHEET INSURANCE INFO Primary Ins Co Name of Insured Insureds Relationship to Patient: DSelf 2 Spouse loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader036fdocumentsinreader036viewer20220711155ff283a6e34626033f5e6e4ehtml5thumbnails2jpg width=140 height=200 divdivdiv class=trans-pagebutton class=gotoPage data-page=3Page 3button div class=trans-imageimg data-url=documentaxelson-chiropractic-2020-5-14-chiropractic-8-patient-info-welcome-sheet-insurancehtmlpage=3 data-page=3 class=trans-thumb lazyload alt=Page 3: Axelson Chiropractic · 2020 5 14 · CHIROPRACTIC 8 PATIENT INFO WELCOME SHEET INSURANCE INFO Primary Ins Co Name of Insured Insureds Relationship to Patient: DSelf 2 Spouse loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII=...