New Patient Intake Form
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Migraines
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Nosebleeds
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Pacemaker
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Parkinson's
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Polio
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Poor posture
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Prostate issues
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Retinal disease
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Sciatica
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Seizures
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Shortness of breath
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Sinus infection
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Sleep problems/insomnia
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Skin sensitivity
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Smoked
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Spinal curvatures
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Stroke
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Swelling of the ankles
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Swollen joints
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Thyroid condition
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Ulcers
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Varicose veins
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Venereal disease
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Other