This form is designed for patients whom have one or two general musculoskeletal complaints. (Examples: Low Back Pain, Neck Pain, Tennis Elbow, Carpal Tunnel)
If you have more in-depth topics (Examples: Diabetes, Hashimoto’s Disease, Parkinson’s Disease, PTSD) you wish to discuss with Dr. Nicole, please complete the Comprehensive Patient Intake Form and notify the front desk staff to ensure your scheduled appointment is correct for your healthcare needs.