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Displaying 1 - 10 of 10

Screening DateNameEmailPhoneAppointment DateAppointment TimeNOTES: (office use only)Recently Experienced Symptoms:
09/22/2022Ronald WuerdemanEmail hidden; Javascript is required.(620) 704-144709/27/202202:15 PM

Becca- BloodDrive, Mid back, hips, dull headaches since he had two strokes about a yr ago, numbness in fingers, shoulder pain - from baseball he believes yrs ago,

  • Back Pain
  • Neck Pain
  • Hip/Leg Pain
  • Headaches/Migraines
  • Numbness/Tingling
  • Shoulder/Arm Pain
09/21/2022Angela FalletiEmail hidden; Javascript is required.(620) 875-916609/29/202204:00 PM

Becca- Blood drive, Mid back, numbness in arms and fingers, neck pain,

  • Back Pain
  • Headaches/Migraines
  • Numbness/Tingling
  • Shoulder/Arm Pain
08/30/2022John TeeheeEmail hidden; Javascript is required.(620) 238-329509/06/202208:30 AM

Becca-Rhea Lana, PD- Clover, Lbp, fusion ruptured disc, hip pan,

  • Back Pain
  • Hip/Leg Pain
08/30/2022Ashley KmiecEmail hidden; Javascript is required.(443) 975-209409/01/202209:00 AM

Becca-Rhea Lana, mid-lbp, hip pain, pain while sleeping

  • Back Pain
  • Hip/Leg Pain
08/03/2022Jenny KennedyEmail hidden; Javascript is required.(620) 238-235208/08/202209:15 AM

Low back/ knees

  • Back Pain
08/03/2022Test TestEmail hidden; Javascript is required.(620) 249-584807/31/202208:00 AM

Notes test

  • Ear Aches
07/31/2022Hannah DanielsEmail hidden; Javascript is required.(620) 762-109608/01/202203:30 PM

CK Co Fair- Becca - All over bp, stiff neck, earaches once or twice a month, headaches every day, left shoulder pain

  • Back Pain
  • Neck Pain
  • Ear Aches
  • Hip/Leg Pain
  • Headaches/Migraines
  • Shoulder/Arm Pain
07/29/2022Deja ZwahlenEmail hidden; Javascript is required.(620) 249-094208/18/202209:00 AM

Mid back pain, ear aches- right, thumping noises in ears, left hip pain

  • Back Pain
  • Neck Pain
  • Ear Aches
  • Hip/Leg Pain
07/26/2022Test TestEmail hidden; Javascript is required.(620) 249-584807/26/202202:00 PM

Notes notes notes

  • Back Pain
  • Headaches/Migraines
  • Disc Problems
07/20/2022kayla riggsEmail hidden; Javascript is required.(712) 830-535708/01/202208:00 AM

this would be best patient ever

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