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Medical History Record Form
Consent For Treatment Form
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Eastern Healing
is not limited
to the conditions listed below. Some
of the commonly treated ailments are:
Reproductive Health/OB Gyn Disorders:
•
Infertility/IVF Preparation
• Menstrual Disorders/PMS
• Perimenopause/Hot Flashes
• Menopause
General Wellness and Health Maintenance:
• Strokes
• Low Energy/Anxiety/Stress
• Insomnia/Depression
• Smoking Cessation
• High Blood Pressure/Improve Circulation
Pain from Muscle and Soft Tissue Disorders:
• Headache/Migraine
• Neck/Back /Shoulder/Elbow
• Sciatica/Knee
• Arthritis
Gastrointestinal Disorders:
• Diarrhea/Constipation/Hemorroids
• Heartburn/Bloating/Cramping
• Irritable Bowel
Metabolic and Immune System Disorders:
• Chronic Fatigue Syndrome
• Fibromyalgia
• Chemo/Radiation Therapy Side Effects
Respiratory:
• Asthma/Allergies/Bronchitis
• Colds and Flu/Sinusitis/Cough