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Screening Survey – Riggs Chiropractic – Riverton

by | May 20, 2022

Displaying 51 - 56 of 56

Screening DateNameEmailPhoneAppointment DateAppointment TimeNOTES: (office use only)Recently Experienced Symptoms:
12/08/2022Dean Teelteelinsurance@columbus-ks.com(620) 704-654412/14/202204:45 PM

Left shoulder RH LBP tingling in leg every now and then- Alexis

  • Back Pain
  • Neck Pain
  • Hip/Leg Pain
  • Numbness/Tingling
  • Sciatica
  • Shoulder/Arm Pain
12/10/2022Jase Rosalesjaserosales2@gmail.com(620) 429-620912/12/202208:00 AM
  • Neck Pain
  • Headaches/Migraines
12/10/2022Kevin Millerkevmill8286@yahoo.com(620) 704-946612/12/202208:00 AM

Columbus holiday fair. Works for railroad, scheduling hard. Been to a chiro but been awhile. Wife owns heavenly designs creations (booth next to ours). NO APPT AT THIS TIME

  • Back Pain
  • Neck Pain
12/10/2022Shirley Reddredd4259@hotmail.com(620) 674-125812/12/202208:00 AM

Knees, neck and headache. Columbus holiday fair. Used to work at Ace Electric in Columbus. Been to a chiropractor before but it has been awhile. NO APPT AT THIS TIME.

  • Neck Pain
  • Headaches/Migraines
12/10/2022Kevin Millerkevmill8286@yahoo.com(620) 704-946612/12/202208:00 AM

Columbus holiday fair. Works for railroad. Scheduling is hard due to changing. Been to a chiropractor before but has been awhile. NO APPT AT THIS TIME

  • Back Pain
  • Neck Pain
12/10/2022Shauna Quallsabqscq@gmail.com(620) 762-124612/12/202208:00 AM

Rayleigh Qualls. 6 years old. Scanned earlier in year and more neck. Needs Monday and late as possible in the afternoon. Scheduling best on Mondays. NO APPT, NEED TO CALL

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

Displaying 51 - 56 of 56