Natasha Middleton
*Please be ready to answer these questions upon scheduling your appointment:
1) Are you experiencing any of the following? (please offer specific details):
*Pregnancy *Bleeding *Skin problems (including eczema, rash, etc.)
*Cancer *Vericose Veins (specific location) *Fever
*Nausea or Vomitting *Vertigo *Arthritis (specific type and location)
*Heart Problems (of any sort) *Gout (with specific location and stage)
*Bursitis (specific joint and stage) *Diabetes *Surgeries (up to 10 years)
*Any other conditions you believe I should be aware of or pay special attention to
2) Allergies!!
3) Are you currently taking any medications?
4) Any type of regular excercise or habitual motions (yoga, driving alot, desk jobs, etc.)
5) How did you hear about my services?
(530) 262-1865 home