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Displaying 1 - 18 of 18

Screening DateNameEmailPhoneAppointment DateAppointment TimeNOTES: (office use only)Recently Experienced Symptoms:
09/12/2022Robert GarciaEmail hidden; Javascript is required.(469) 271-153710/05/202209:00 AM

12/2/1991
Paid $20 Cash
Fuzzy’s Taco Shop Carrollton

  • Back Pain
  • Neck Pain
09/12/2022Joyce ParhamEmail hidden; Javascript is required.(469) 826-840509/22/202204:00 PM

7/10/1987
Paid $ 20 Square

  • Back Pain
  • Neck Pain
  • Sinus/Allergies
  • Hip/Leg Pain
  • Headaches/Migraines
09/12/2022Paige RowleyEmail hidden; Javascript is required.(214) 422-639209/20/202207:30 AM

10/16/1998
Paying 9/16

  • Back Pain
  • Neck Pain
  • Sinus/Allergies
  • Hip/Leg Pain
  • Headaches/Migraines
  • Numbness/Tingling
  • Shoulder/Arm Pain
09/12/2022Chelsea LoomisEmail hidden; Javascript is required.(386) 289-030609/16/202207:30 AM

10/28/1983
$20 Square

  • Back Pain
  • Neck Pain
  • Sinus/Allergies
  • Hip/Leg Pain
  • Headaches/Migraines
  • Sciatica
  • Shoulder/Arm Pain
09/12/2022Fatima SanaiEmail hidden; Javascript is required.(972) 522-865809/15/202209:00 AM

8/13/1983
Paid $49 Square
Owner of Kiddie Academy Prosper

  • Back Pain
  • Neck Pain
  • Headaches/Migraines
  • Shoulder/Arm Pain
09/12/2022Usha sri PappuEmail hidden; Javascript is required.(925) 786-359909/14/202204:00 PM

2/25/1970
Tennis elbow
Pay in office

  • Back Pain
  • Sinus/Allergies
  • Ear Aches
09/12/2022Cassie ThorntonEmail hidden; Javascript is required.(859) 669-907709/13/202208:00 AM

3/30/04
Paid $49 Square
MVA - 3 years ago

  • Back Pain
  • Neck Pain
  • Headaches/Migraines
09/12/2022Gabrielle MerilattEmail hidden; Javascript is required.(972) 370-798109/13/202202:30 PM

8/19/04
$25 cash

  • Back Pain
  • Neck Pain
  • Sinus/Allergies
  • Ear Aches
  • Hip/Leg Pain
  • Headaches/Migraines
  • Disc Problems
09/10/2022Chris BrownEmail hidden; Javascript is required.(214) 883-772309/16/202211:00 AM

5/3/83
Sam Johnson Elementary
Paid $20

  • Back Pain
09/10/2022Jennifer SchneiderEmail hidden; Javascript is required.(330) 618-622109/19/202204:00 PM

04/24/76
5th grade teacher
Sam Johnson Elementary : Fall Carnival
Paid $49

  • Back Pain
  • Neck Pain
  • Sinus/Allergies
  • Hip/Leg Pain
  • Disc Problems
  • Numbness/Tingling
  • Sciatica
08/10/2022Robert LopezEmail hidden; Javascript is required.(214) 664-031508/18/202209:00 AM

3/26/1979
Paying in office
Male
Shakertins manager (kitchen I think)

  • Back Pain
  • Numbness/Tingling
  • Shoulder/Arm Pain
08/10/2022Mya RobinsonEmail hidden; Javascript is required.(972) 533-228308/17/202205:00 PM

10/10/2000
Paying Monday
Female

  • Back Pain
  • Sinus/Allergies
  • Headaches/Migraines
08/10/2022Jalyn ColeEmail hidden; Javascript is required.(405) 200-823908/16/202205:00 PM

10/24/01
Paid $49 cash
Female

  • Back Pain
08/10/2022Jordan OwensEmail hidden; Javascript is required.(214) 724-272508/10/202201:57 PM
  • Back Pain
08/10/2022Berni CarterEmail hidden; Javascript is required.(817) 845-527408/17/202203:00 PM

Swollen right hand with numbness
11/20/79

  • Back Pain
  • Neck Pain
  • Sinus/Allergies
  • Ear Aches
  • Headaches/Migraines
  • Numbness/Tingling
  • Sciatica
  • Shoulder/Arm Pain
08/10/2022Abbie WallaceEmail hidden; Javascript is required.(425) 985-288908/26/202210:00 AM

3/31/82
Shakertins moms day out
Paid $20

  • Hip/Leg Pain
08/08/2022Sharon AuthersEmail hidden; Javascript is required.(225) 978-476708/16/202203:00 AM

Maniers- vertigo and tendinitis
Inner ear

  • Back Pain
  • Disc Problems
08/06/2022Jeff SpannEmail hidden; Javascript is required.(469) 668-710408/11/202204:30 PM

Some back spasm pain
03/24/73

  • Back Pain
Screening DateNameEmailPhoneAppointment DateAppointment TimeNOTES: (office use only)Recently Experienced Symptoms: