Testimonials


“They seem to care about every person that came in the door.  They made you feel important”

-Denise

“I was experiencing some chronic pain and I wanted to be a part of something that was going to help people get some relief.”

-Pat

Questionnaire:


Do you experience the following symptoms in the affected joint?

 Warmth, pain, or swelling Rapid increase in of discomfort Limited movement or stiffness Skin may peel or feel itchy Red or purplish skin around the joint

Are you currently receiving treatment for gout?

Do you have a history of any of the following?

 Seizure Disorder Stroke Head Injury Brain Tumor Cancer NONE

What is your Gender?
 Male Female

Are you over 18?
 Yes No

How did you hear about us?
 TV Radio Referral Flyer/Brochure Internet Search Web Advertisement Facebook Previous Patient

Please enter any questions or comments in the space below.

Name (First and Last):

Phone:

Email Address:

Are you a resident of Washington State?

Zip Code:

What is the best time to contact you?

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