Chronic Pain & Inflammation – BodyRejuvenation

Health and Medical History:

How long have you been experiencing pain and/or inflammation?

What treatments have you previously tried for your pain and inflammation?

Are you currently taking any medications?

Please specify

Do you have any allergies or sensitivities to medications or treatments?

Please specify

Which of these therapies are you particularly interested in trying? Please select all that apply

How familiar are you with these therapies?

What are your primary goals for seeking these therapies?

What are your expectations from the therapy/treatments you are considering?

How often are you able to visit a clinic for treatments?

Please add any additional comments or concerns you have regarding your chronic pain, inflammation, or the therapies you are interested in.

Are you interested in proactive healthcare and preventative measures to optimize your health and longevity?

Do you stay active and prioritize healthy lifestyle habits like exercise and nutrition?

Would you be open to exploring evidence-based, cutting-edge therapies for anti-aging and wellness?

Are you comfortable providing recent blood work or participating in a comprehensive health assessment?

Do you believe in a collaborative approach to healthcare, working with medical professionals to achieve your goals?

How much do you budget for your wellness each year?

Enter your zip code

We need to make sure your state allows telehealth.

Name

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Last

Email

Phone

How did you hear about us?

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Our clinic is located in Hallandale, Florida, are you nearby?

If you live far, we do offer virtual consultations