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Health Goals (please check all that apply) Treatment only for pain reliefLearning how to correct/prevent the conditions that affect meMaintaining Health and my overall approach to health
Do you have a preferred practitioner you would like to see? PLEASE SELECTDR. KODY AUDR. VLAD CONSTANTINESCUDR. EMILY CULLENDR. ABIGAIL DIXONDR. JENINE MCCANNDR. MEGHAN SONIDR. CHRISTY YIPDR. JENNIFER WONGKEVIN HSIENWENDY HSUKAROLINA KLUSKASHARON WUJAMIE SONEGOSALMA SAMNANIANA ZELEMBABACHRISTINE BERSABELORRISA DENGKATERINA HONGEINER LIMKELLY LIMANY CHIROPRACTORANY KINESIOLOGISTANY PHYSIOTHERAPISTANY TRADITIONAL CHINESE MEDICINE PRACTITIONER OR ACUPUNCTURISTANY REGISTERED MASSAGE THERAPISTNO PREFERENCE
Preferred clinic location PLEASE SELECTVANCOUVERBURNABY
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Is this present complaint an ICBC or WCB case? YesNo
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