Select Page

Screening Survey – Well Deserved Wellness

by | Jun 22, 2022

Displaying 1 - 6 of 6

Screening DateNameEmailPhoneAppointment DateAppointment TimeNOTES: (office use only)Recently Experienced Symptoms:
05/10/2023Sara PedrazaEmail hidden; Javascript is required.(832) 997-837306/01/202302:00 PM

BCBS

Will call to see when is the best time for her to come in. Preferably during the summer.

  • Back Pain
05/10/2023Ivette TorresEmail hidden; Javascript is required.(281) 799-698501/01/202302:00 PM
  • Disc Problems
02/25/2023braiana glennEmail hidden; Javascript is required.(832) 720-240403/20/202302:00 PM
  • Back Pain
  • Neck Pain
02/25/2023Haleigh TennantEmail hidden; Javascript is required.(346) 481-921903/16/202304:00 PM
  • Back Pain
  • Sinus/Allergies
  • Hip/Leg Pain
  • Shoulder/Arm Pain
02/25/2023Aisha ShahidEmail hidden; Javascript is required.(346) 279-903302/27/202302:15 PM

Lives in mexico, would like to keep up with maintaince care.

  • Back Pain
  • Neck Pain
02/25/2023Ramona CarterEmail hidden; Javascript is required.(713) 865-236302/28/202304:15 PM

Seats at work between 12-16 hours a day. call between 10am-3pm

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

Displaying 1 - 6 of 6