Health and Wellness Screening

Exit

Health and Wellness Screening

Let us know more about your concerns. Select the options that best apply to you and you'll receive treatment recommendations personalized to you.

"*" indicates required fields

Step 1 of 9

11%

First, select any general health issues you might be experiencing.

Select all that apply.

General health issues

Fatigue

Joint Pain

Numbness/tingling

Bruising

Shooting Pain

Muscle weakness

Loss of balance

Overweight

Other

None

Where are you experiencing numbness/tingling?

Select all that apply.

Untitled

Arm

Hands

Leg

Feet

Neck/Back

Where is your pain

Select all that apply

Untitled

Head

Arm

Leg

Neck/Back

Where is your joint pain?

Select all that apply

Joint pain

Hips

Shoulder(s)

Knee(s)

Elbow(s)

Other

Please specify*

Where are you experiencing muscle weakness?

Select all that apply

Untitled

Arm

Leg

Neck/Back

Next, select any skin health issues you might be experiencing.

Select all that apply

Skin health issues

Cyst

Rash

Mole

Wart

Open Wound

None

Other

Now, select any intimate issues you may be experiencing.

Select all that apply

Intimate issues

Burning

Itching

Dryness

Urinary Incontinence

None

Other

Next, let’s screen for mental health. Select any issues you might be experiencing.

Select all that apply

Mental Health

Depression

Anxiety

Confusion

Memory loss

None

Other

Almost done! Let us know how to contact you with your results.

Enter your contact information.

Your Name*

Enter your name

Phone Number*

Email Address*

Age Verification*

I confirm that I’m 18 years of age or older

This field is for validation purposes and should be left unchanged.

Comprehensive Medical, Aesthetic, and Wellness Care in Baxter, MN

Request an Appointment

Address

7350 Clearwater Road, #201,

Baxter,

56425

Phone

(218) 270-5590

Hours

Monday–Friday: 8am - 5pm

Saturday–Sunday: Closed

|Privacy Policy|

Web Design & SEO by Lifted Logic