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Pre-Consultation Questions

Your information goes directly to Dr. Erickson to review before your complimentary consultation.  The information received is kept fully confidential and will not be shared or forwarded with anyone.

As this information goes directly to the Doctor for patient consultations, solicitation is not permitted.


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Please select ALL areas of concern:

Neck ProblemShoulder ProblemUpper Back ProblemMiddle Back ProblemTailbone ProblemHip ProblemHeadache ProblemNumbness or Tingling ArmsNumbness or Tingling LegsMuscular Spasm and TensionPinched NervesElbow ProblemKnee ProblemHerniated and Bulging Spinal DiscsPoor PostureDizziness / VertigoTMJ ProblemCarpal Tunnel ProblemWrist / Hand ProblemFoot / Ankle Problem

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