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Name Birth date Street Address City of Postal Code Homework E-Mail Your Occupation Who Referred You? Physician Name / Address Extended Health Care? Yes No Reason for therapy? If you're feeling muscle
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If you're feeling unwell or experiencing symptoms, it is important to seek medical attention.
Anyone who is experiencing symptoms or feeling unwell should seek medical advice.
To report how you are feeling, you can communicate your symptoms to a healthcare provider or fill out a health assessment form.
The purpose of reporting how you are feeling is to assess your health status and determine appropriate medical care.
Information such as specific symptoms, duration, severity, and any relevant medical history may need to be reported when describing how you are feeling.
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