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Displaying 1 - 11 of 11

Screening DateNameEmailPhoneAppointment DateAppointment TimeNOTES: (office use only)Recently Experienced Symptoms:
07/30/2022Caroline ElsnerEmail hidden; Javascript is required.(701) 269-554808/17/202209:15 AM
  • Back Pain
  • Neck Pain
  • Hip/Leg Pain
  • Headaches/Migraines
  • Shoulder/Arm Pain
07/30/2022Samantha LeeEmail hidden; Javascript is required.(701) 680-559808/15/202210:15 AM
  • Back Pain
  • Neck Pain
  • Sinus/Allergies
  • Hip/Leg Pain
  • Headaches/Migraines
  • Numbness/Tingling
  • Sciatica
07/16/2022Julie JansenEmail hidden; Javascript is required.(701) 269-578807/27/202203:45 PM
  • Back Pain
  • Neck Pain
  • Sinus/Allergies
  • Headaches/Migraines
  • Disc Problems
06/14/2022Martin VegaEmail hidden; Javascript is required.(208) 316-107607/08/202209:00 AM
  • Back Pain
  • Sinus/Allergies
  • Headaches/Migraines
  • Numbness/Tingling
06/14/2022Cody JohnsonEmail hidden; Javascript is required.(701) 320-475306/16/202204:00 AM

tension on shoulders

  • Neck Pain
  • Sinus/Allergies
  • Hip/Leg Pain
  • Headaches/Migraines
  • Shoulder/Arm Pain
06/14/2022Mike schwartzEmail hidden; Javascript is required.(701) 320-574406/20/202210:30 AM

tingling above right hip
rotator cuff kind of shot
pain between c1 and c5 on right hand side gets irritated more than anything
had stroke 2 years ago and had to learn to walk again

  • Back Pain
  • Neck Pain
  • Sinus/Allergies
  • Hip/Leg Pain
  • Numbness/Tingling
06/14/2022Rojelio CardosaEmail hidden; Javascript is required.(208) 320-412706/27/202203:00 PM
  • Back Pain
  • Sinus/Allergies
  • Headaches/Migraines
06/14/2022Alayanna KleinEmail hidden; Javascript is required.(701) 891-949406/16/202202:15 PM
  • Back Pain
  • Neck Pain
  • Hip/Leg Pain
  • Headaches/Migraines
  • Disc Problems
  • Numbness/Tingling
  • Sciatica
  • Shoulder/Arm Pain
06/14/2022Victor VelasquezEmail hidden; Javascript is required.(208) 339-830206/15/202202:45 PM

shoulder not arm it pops out on him when he bends down a certain way

  • Back Pain
  • Ear Aches
  • Sciatica
  • Shoulder/Arm Pain
06/07/2022Jacob MarkerEmail hidden; Javascript is required.(701) 890-640906/14/202204:15 PM
  • Back Pain
  • Neck Pain
  • Hip/Leg Pain
  • Headaches/Migraines
  • Sciatica
  • Shoulder/Arm Pain
06/07/2022Ashley DurheimEmail hidden; Javascript is required.(701) 840-744606/13/202211:15 AM
  • Neck Pain
  • Sinus/Allergies
  • Headaches/Migraines
Screening DateNameEmailPhoneAppointment DateAppointment TimeNOTES: (office use only)Recently Experienced Symptoms: