Intake Forms

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Bulleted List Format

  • Headaches
  • Facial Pain
  • Cervical/Neck Pain
  • Myofascial Pain
  • Thoracic/Lumbar Disc Disease
  • Post-Laminectomy Syndrome
  • Groin/Pelvic Pain
  • Phantom Limb Pain
  • CRPS/RSD
  • Osteoarthritis
  • Bursitis
  • Facet Joint Arthropathy
  • Spinal Stenosis
Integrative Medicine Exam Room

Another content format with Call to Action

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Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

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CALL TO ACTION A

Woman with back pain needing pain management

CALL TO ACTION B

Integrative Medicine Exam Room

CALL TO ACTION C

Depressed man in pain being comforted by wife

CALL TO ACTION D

Young man contemplating pain medication additction
Health and Human Services logo to represent medicare

Medicare Welcome

Bible and cross icon showing Christian owned business

CHRISTIAN OWNED

Icon showing health insurance accepted

INSURANCE ACCEPTED

US flag symbol showing veterans welcome

WE CARE FOR VETERANS