For chiropractic services in Block 13, which dates must be entered?

For chiropractic services in Block 13, which dates must be entered?

• A. Date of initiation of the course of treatment and date of x-ray if used.
• B. Date of earliest symptom onset and date of last menstrual period.
• C. Date of service and date of claim submission.
• D. Date of birth and date of diagnosis.

Answer: (D)