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yReport
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PERSONAL INFO
First Name
Last Name
Email
Age
Sex
Choose an option
YOUR REPORT
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What symptoms are you experiencing?
Pain
Numbness/Tingling
Weakness
Where are you experiencing your symptoms?
Upper back
Lower back
Left buttock
Right buttock
Left leg
Right leg
Would you be interested in any of the following?
Personalized physical therapy plan
Consultation with a back pain specialist (physician or nurse)
Consultation with a spine surgeon
Prescription pain medication
I understand that this is not medical advice and should be reviewed by your physician. I agree to the Terms and Conditions.
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