%PDF-1.4
%
1 0 obj
<<
/Title (New Patient Intake Forms - Elmbrook Chiropractic)
/ModDate (D:20200227120348-05'00')
/PXCViewerInfo (PDF-XChange Viewer;2.5.210.0;Feb 25 2013;15:34:29;D:20200227120348-05'00')
>>
endobj
2 0 obj
<<
/Type /Catalog
/Pages 3 0 R
/Metadata 4 0 R
>>
endobj
3 0 obj
<<
/Kids [5 0 R 6 0 R 7 0 R 8 0 R 9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R]
/Type /Pages
/Count 10
>>
endobj
4 0 obj
<<
/Type /Metadata
/Length 2976
/Subtype /XML
>>
stream
2020-02-27T12:03:48-05:00
application/pdf
New Patient Intake Forms - Elmbrook Chiropractic
endstream
endobj
5 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [15 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im1 16 0 R
>>
>>
>>
endobj
6 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [17 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im2 18 0 R
>>
>>
>>
endobj
7 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [19 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im3 20 0 R
>>
>>
>>
endobj
8 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [21 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im4 22 0 R
>>
>>
>>
endobj
9 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [23 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im5 24 0 R
>>
>>
>>
endobj
10 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [25 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im6 26 0 R
>>
>>
>>
endobj
11 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [27 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im7 28 0 R
>>
>>
>>
endobj
12 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [29 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im8 30 0 R
>>
>>
>>
endobj
13 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [31 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im9 32 0 R
>>
>>
>>
endobj
14 0 obj
<<
/Type /Page
/Parent 3 0 R
/Rotate 0
/Contents [33 0 R]
/MediaBox [0 0 612 792]
/Resources <<
/ProcSet [/PDF /ImageC /ImageB /ImageI]
/XObject <<
/Im10 34 0 R
>>
>>
>>
endobj
15 0 obj
<<
/Length 47
>>
stream
q 612.00 0 0 792.00 0.00 0.00 cm 1 g /Im1 Do Q
endstream
endobj
16 0 obj
<<
/Name /Im1
/Type /XObject
/Width 1700
/Filter [/DCTDecode]
/Height 2200
/Length 351314
/Subtype /Image
/ColorSpace /DeviceRGB
/BitsPerComponent 8
>>
stream
JFIF C
$.' ",#(7),01444'9=82<.342 C
2!!22222222222222222222222222222222222222222222222222 "
} !1AQa"q2#BR$3br
%&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz
w !1AQaq"2B #3Rbr
$4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? ۶+!=h,jX@ u8s 1-s C 4iVn>AꢯǟjC<| t1 5^w"Qk A3 G[?/7^Y / Ao |C[Ǵ1E\ Q~5 |?! z(ҋ +¬ċiG.~xS DnKh4lYO?Zn# t|) ?G 6\R^>O Q3Dί ^O]i
;?y ;I
; c~=?1E]n$ ?<|`Ũ1 gDz\
,sG_ C5 1rm/z/EB<
x/iō'9[ҏ~ٷ7_^ ~TY~#
?nx