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Back pain / Typhoid fever / Arthritis / Low back pain / Hypotension / Pyelonephritis / Medical history / Hernia / Pleurisy / Medicine / Health / Pain
Date: 2014-09-17 21:49:39
Back pain
Typhoid fever
Arthritis
Low back pain
Hypotension
Pyelonephritis
Medical history
Hernia
Pleurisy
Medicine
Health
Pain

Confidential Patient Case History Dear Patient: Please complete this questionnaire. Your answers will help us determine if chiropractic can help you. If we do not sincerely believe your condition will respond satisfactor

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