For your convenience:

You can download and complete the Intake Form on our website and bring it with you to your first visit:

Click here to get the form.

Common Ailments

Neurological

Migraine
, Neuralgia
, Post-operative pain
, Parkinson’s, Multiple Sclerosis
, Facial pain
, Bell’s Palsy

Musculoskeletal

Joint pain, Limb pain, Low back pain, Lumbar Stenosis, Sciatica, Arthritis, Sprains and strain, Sports injuries, Muscle cramping, Localized traumatic injuries

Ears/Eyes/Nose

Common cold and Flu, Sinusitis, Allergies

Respiratory

Bronchitis, Allergies, Asthma

Emotional

Insomnia, Stress Reduction, Depression, Anxiety,
 Nervousness,

Gynecological

Menstrual Syndromes, Menopause, Uterine Fibroids, Ovarian Cysts, PMS, Infertility

Digestive

Acid reflux, Abdominal pain, Indigestion, Diarrhea, Constipation, Bloating, Gas